| Dr Timothy J P Cooper, MD | |
|
10 Hospital Dr, Saint Peters, MO 63376-1659 | |
| (636) 916-9094 | |
| Not Available |
| Full Name | Dr Timothy J P Cooper |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 32 Years |
| Location | 10 Hospital Dr, Saint Peters, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558358838 | NPI | - | NPPES |
| 208724807 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 112414 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 148 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20040129000651 |
| Entity Name | Midwest Anesthesia Providers Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
| Entity Name | Midwest Anesthesia Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558719617 PECOS PAC ID: 8921387390 Enrollment ID: O20161108001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy J P Cooper, MD 100 Peruque Estates Ln, Wentzville, MO 63385-4923 Ph: (636) 916-9094 | Dr Timothy J P Cooper, MD 10 Hospital Dr, Saint Peters, MO 63376-1659 Ph: (636) 916-9094 |
Dr. Gerald R. Joyce, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 | |
Dr. Chad Conrad Shelton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd Ste 101, Saint Peters, MO 63376 Phone: 636-442-5035 Fax: 636-442-5036 | |
Dr. John S Menius, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 636-284-6396 Fax: 636-922-5157 | |
Dr. John Alan Vellinga, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4800 Mexico Rd, Suite 101, Saint Peters, MO 63376 Phone: 636-936-0400 Fax: 636-936-2252 | |
Dr. James M. Sturm, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 412 Jungermann Rd Ste 201, Saint Peters, MO 63376 Phone: 636-244-5004 Fax: 636-244-5006 | |
Dr. Randy S Fatheree, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Saint Peters, MO 63376 Phone: 314-895-3828 Fax: 314-895-3827 |