Caleb Alan Cooper, MD | |
1701 N Senate Blvd, Indianapolis, IN 46202-1239 | |
(888) 484-3258 | |
Not Available |
Full Name | Caleb Alan Cooper |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1701 N Senate Blvd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871086264 | NPI | - | NPPES |
300092999 | Medicaid | IN | |
1104277572 | Other | IN | ANTHEM PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 125.071692 (Illinois) | Secondary |
208800000X | Urology | 01093868A (Indiana) | Primary |
Entity Name | Arnett Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
Entity Name | University Urologists Inc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104877141 PECOS PAC ID: 4284604208 Enrollment ID: O20040728000391 |
Mailing Address | Practice Location Address |
---|---|
Caleb Alan Cooper, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: (877) 668-5621 | Caleb Alan Cooper, MD 1701 N Senate Blvd, Indianapolis, IN 46202-1239 Ph: (888) 484-3258 |
Hristos Kaimakliotis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-948-6351 | |
Dr. Charles Randall Powell Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr., Indianapolis, IN 46202 Phone: 317-274-4622 Fax: 317-274-0174 | |
Ethan L Ferguson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Phone: 317-962-3700 Fax: 317-962-2893 | |
Kelly Clint Cary, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 888-484-3258 | |
Alexander J Tatem, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8240 Naab Rd Ste 220, Indianapolis, IN 46260 Phone: 317-890-2000 | |
Dr. John C Ramsey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 8240 Naab Rd Ste 200, Indianapolis, IN 46260 Phone: 317-890-2000 Fax: 317-876-2320 | |
Hazem Elmansy, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1801 N Senate Blvd, Suite 220, Indianapolis, IN 46202 Phone: 317-962-2485 |