Individual
DR. JEFFREY SCOTT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
987400 NEBRASKA MEDICAL CTR, OMAHA, NE 68198
(402) 559-6637
(402) 559-8333
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6637
(402) 559-8333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20107
NE
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
20107
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360688
ANTHEM BCBS
OH
01
—
000000377192
ANTHEM BCBS
OH
05
—
0957148
—
OH
01
—
P00212587
MEDICARE RR
OH
01
—
P00273469
MEDICARE RR
OH
Enumeration date
06/16/2005
Last updated
06/25/2018
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