| NPI | 1083972814 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-04-30 |
| Last Updated | 2024-07-01 |
| Mailing Address | 11109 Parkview Plaza Dr # 117 Fort Wayne, IN 46845-1701 United States 📍 View Map |
| Primary Practice Address | 433 W High St Bryan, OH 43506-1690 United States Phone: (419) 630-2021 | Fax: (419) 630-2022 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OH | 0304652 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | - | - |
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | OH | 35.132488 |
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About NPI 1083972814
David M Cooley MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083972814. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Bryan, OH. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-04-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083972814?
NPI 1083972814 belongs to David M Cooley MD, a Internal Medicine, Gastroenterology in Bryan, OH. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083972814 active?
The current status of NPI 1083972814 in the NPPES registry is Active. The record was last updated on 2024-07-01.
What specialty is NPI 1083972814?
NPI 1083972814 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083972814?
You can verify NPI 1083972814 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083972814?
The primary practice address on file for NPI 1083972814 is 433 W High St, Bryan, OH 43506-1690. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083972814 issued?
NPI 1083972814 was first issued (enumerated) on 2012-04-30. The NPPES record was last updated on 2024-07-01.
Practice Location Map
David M Cooley is located at 433 W High St, Bryan, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as David M Cooley. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083972814. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Gastroenterology | 35.132488 | OH |