| Dr David Alan Cooley, MD | |
|
1003 Bellefontaine Ave Ste 100, Lima, OH 45804-1868 | |
| (419) 998-8234 | |
| (419) 998-8233 |
| Full Name | Dr David Alan Cooley |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 1003 Bellefontaine Ave Ste 100, Lima, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528134582 | NPI | - | NPPES |
| 341712408 | Other | OH | OTHER INS |
| 341712408 | Other | TRICARE | |
| 0859441 | Medicaid | OH | |
| CL1312 | Other | OH | MEDICARE RAILROAD |
| 000000137184 | Other | OH | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35049465 (Ohio) | Primary |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Alan Cooley, MD 830 W High St, Suite 204, Lima, OH 45801-3971 Ph: (419) 229-8928 | Dr David Alan Cooley, MD 1003 Bellefontaine Ave Ste 100, Lima, OH 45804-1868 Ph: (419) 998-8234 |
Dr. Fredric Lax, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 770 W High St, Suite 390, Lima, OH 45801 Phone: 419-996-5202 | |
Asem Salma, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 830 W High St Ste 307, Lima, OH 45801 Phone: 419-995-4960 Fax: 419-995-4961 | |
Robert Love Baker Ii, DO Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Dr. Monica W Loke, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1005 Bellefontaine Ave Ste 225, Lima, OH 45804 Phone: 419-998-8200 Fax: 419-998-8203 | |
Dr. Jeffrey Stuart Lobel, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Bellefontaine Ave Ste 125, Lima, OH 45804 Phone: 419-998-8207 Fax: 419-998-8216 | |
Charles Owen Wood, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 770 W High St Ste 160, Lima, OH 45801 Phone: 419-995-4960 Fax: 419-995-4961 |