| Andrea R Cooper, APRNCNM, APRNCNP | |
|
920 N Hamilton Rd, Gahanna, OH 43230-1757 | |
| (614) 293-3069 | |
| (614) 366-0894 |
| Full Name | Andrea R Cooper |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 920 N Hamilton Rd, Gahanna, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508116203 | NPI | - | NPPES |
| 0075201 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.14052 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN.CNM.13981 (Ohio) | Primary |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea R Cooper, APRNCNM, APRNCNP 700 Ackerman Rd Ste 570, Columbus, OH 43202-1579 Ph: (614) 293-3069 | Andrea R Cooper, APRNCNM, APRNCNP 920 N Hamilton Rd, Gahanna, OH 43230-1757 Ph: (614) 293-3069 |
Ms. Cassandra Anne Sampsell, APRN-CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 920 N Hamilton Rd Ste 200, Gahanna, OH 43230 Phone: 614-293-3069 Fax: 614-293-9684 | |
Mrs. Taylor Krinock, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1375 Cherry Way Dr Ste 100, Gahanna, OH 43230 Phone: 614-759-6200 | |
Ms. Patricia L Dodge, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 920 N. Hamilton Rd, Suite 200, Gahanna, OH 43230 Phone: 614-366-3075 Fax: 614-366-0894 |