Dr Shelby O Cooper, MD - Obstetrics & Gynecology in Lagrange, IN

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Dr Shelby O Cooper, MD is a Obstetrics & Gynecology physician based in Lagrange, Indiana. Dr Shelby O Cooper is licensed to practice in Indiana (license number 01021456A) and his current practice location is 207 N Townline Rd Ste 204, Lagrange, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 463-9470.

NPI number for Dr Shelby O Cooper is 1568551414 and his current mailing address is 11109 Parkview Plaza Dr # 117, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568551414.

Contact Information

Dr Shelby O Cooper, MD
207 N Townline Rd Ste 204,
Lagrange, IN 46761-1325
(260) 463-9470
(260) 665-7312

Map and Direction




Physician's Profile

Full NameDr Shelby O Cooper
GenderMale
SpecialityObstetrics & Gynecology
Location207 N Townline Rd Ste 204, Lagrange, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568551414
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 10/10/2022

Medical Identifiers

Medical identifiers for Dr Shelby O Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568551414NPI-NPPES
100408010MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 01021456 (Indiana)Secondary
207V00000XObstetrics & Gynecology 01021456A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shelby O Cooper is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shelby O Cooper, MD
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -		Dr Shelby O Cooper, MD
207 N Townline Rd Ste 204,
Lagrange, IN 46761-1325

Ph: (260) 463-9470

Reviews and Comments


Obstetrics & Gynecology Doctors in Lagrange, IN


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