# COOPER SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427389543
- **Authorized official:** DR. MARK HAYDEN COOPER M.D. (OWNER THORACIC SURGEON)
- **Authorized official phone:** (865) 257-5896

## Contact information

- **Practice address:** 10810 PARKSIDE DRIVE, SUITE 204, KNOXVILLE, TN 37934
- **Practice address phone:** (865) 675-2080
- **Practice address fax:** (877) 896-7807
- **Mailing address:** 10810 PARKSIDE DRIVE, SUITE 204, KNOXVILLE, TN 37934
- **Mailing address phone:** (865) 675-2080
- **Mailing address fax:** (877) 896-7807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 41864 | TN | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 41864 | TN | Yes |

## Other

- **Enumeration date:** 01/29/2010
- **Last updated:** 09/16/2015