Active NPI 1659301851 Individual Practitioner Female Practitioner

Dr. Mindy A Cooper , MD

Internal Medicine • Avon, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mindy Cooper, MD is a certified Internal Medicine practicing in Avon, CO. With approximately 39 years of clinical experience since graduating from George Washington University School Of Medicine in 1987, Dr. Cooper delivers high-quality medical care to the local community at 50 BUCK CREEK ROAD.

Dr. Cooper is affiliated with Colorado Mountain Medical, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

50 Buck Creek Road
Suite 200

Avon, CO 81620

Telephone 9709266340

Fax 9709266348

Associated Practice Facility / Clinic

🏢 Colorado Mountain Medical, Pc Facility NPI 1083675102

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Avon, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +5.2 yrs vs City Avg

City Avg: 33.8 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Avon, CO (2124 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (39 Years) 39 Yrs

Avon Specialty Average (33.8 Years) 33.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	501	309	$343.12	$79.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$348.75	$50.61
99213 Established patient office or other outpatient visit, typically 15 minutes	168	142	$242.29	$69.12
36415 Insertion of needle into vein for collection of blood sample	156	136	$25.23	$8.65
80053 Blood test, comprehensive group of blood chemicals	122	109	$33.97	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	109	101	$24.39	$7.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	75	$460.50	$110.85
84443 Blood test, thyroid stimulating hormone (TSH)	78	70	$53.41	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	77	75	$41.71	$13.12
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	65	65	$303.00	$290.10
G0009 Administration of pneumococcal vaccine	62	62	$26.24	$25.72
80048 Blood test, basic group of blood chemicals (calcium, total)	55	51	$28.56	$8.29
81003 Automated urinalysis test	50	48	$6.72	$2.16
83036 Hemoglobin A1C level	32	29	$31.34	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$39.20	$13.88
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$29.24	$18.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$441.52	$79.22
G0008 Administration of influenza virus vaccine	29	28	$30.48	$29.87
90480 Admn sarscov2 vacc 1 dose	28	25	$65.00	$43.45
91322 Sarscov2 vac 50 mcg/0.5ml im	28	25	$150.00	$145.43
90653 Vaccine for influenza for injection into muscle	25	25	$61.00	$59.78
99495 Transitional care management services for problem of at least moderate complexity	24	23	$547.50	$98.75
82306 Vitamin d-3 level	22	22	$89.73	$29.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$442.47	$157.32
82728 Ferritin (blood protein) level	12	12	$47.33	$13.36
83540 Iron level	12	12	$23.75	$6.34
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$43.00	$14.42
83550 Iron binding capacity	12	12	$29.92	$8.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	305	$327.21	$84.00
36415 Insertion of needle into vein for collection of blood sample	134	120	$27.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	133	111	$231.65	$66.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$304.69	$46.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	123	95	$458.00	$116.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	97	92	$28.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	96	91	$42.00	$10.35
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	76	76	$303.00	$278.09
G0009 Administration of pneumococcal vaccine	75	75	$26.00	$25.48
84443 Blood test, thyroid stimulating hormone (TSH)	63	59	$68.00	$16.46
80048 Blood test, basic group of blood chemicals (calcium, total)	61	59	$34.00	$8.29
80061 Blood test, lipids (cholesterol and triglycerides)	50	50	$46.00	$12.86
81003 Automated urinalysis test	50	48	$7.00	$2.20
83036 Hemoglobin A1C level	38	37	$38.00	$9.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$440.00	$106.23
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$83.20	$14.65
99495 Transitional care management services for problem of at least moderate complexity	19	18	$436.26	$128.92
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$29.00	$18.92
82306 Vitamin d-3 level	14	14	$104.00	$29.01
83540 Iron level	14	14	$28.00	$6.34
83550 Iron binding capacity	13	13	$35.00	$8.57
82728 Ferritin (blood protein) level	13	13	$55.00	$13.36
G0008 Administration of influenza virus vaccine	11	11	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	189	$273.55	$87.44
36415 Insertion of needle into vein for collection of blood sample	185	172	$27.00	$2.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	167	123	$378.37	$118.38
99213 Established patient office or other outpatient visit, typically 15 minutes	132	118	$194.55	$75.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$294.00	$44.63
80053 Blood test, comprehensive group of blood chemicals	117	113	$42.00	$10.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	100	96	$28.00	$7.65
80061 Blood test, lipids (cholesterol and triglycerides)	77	76	$46.00	$13.09
80048 Blood test, basic group of blood chemicals (calcium, total)	77	72	$34.00	$8.36
84443 Blood test, thyroid stimulating hormone (TSH)	69	69	$68.00	$16.57
G0009 Administration of pneumococcal vaccine	59	58	$26.00	$25.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	55	54	$303.00	$272.99
81003 Automated urinalysis test	54	51	$7.00	$2.22
83036 Hemoglobin A1C level	34	32	$38.00	$9.39
G0008 Administration of influenza virus vaccine	30	30	$30.13	$29.59
82306 Vitamin d-3 level	22	22	$104.00	$29.18
G0103 Prostate cancer screening; prostate specific antigen test (psa)	21	21	$29.00	$18.99
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	20	20	$71.60	$69.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$440.00	$70.24
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$91.00	$14.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$115.40	$55.64
99497 Advance care planning, first 30 minutes	14	14	$201.00	$67.32
84550 Uric acid level, blood	13	11	$19.00	$4.46
84153 Psa (prostate specific antigen) measurement, total	13	13	$73.00	$18.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	172	$240.90	$131.79
99213 Established patient office or other outpatient visit, typically 15 minutes	210	168	$165.88	$92.94
36415 Insertion of needle into vein for collection of blood sample	198	170	$26.13	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$286.40	$135.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	91	$327.07	$183.33
80053 Blood test, comprehensive group of blood chemicals	115	108	$41.11	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	95	89	$27.11	$7.77
84443 Blood test, thyroid stimulating hormone (TSH)	83	77	$66.24	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	70	68	$45.11	$13.39
80048 Blood test, basic group of blood chemicals (calcium, total)	53	50	$33.13	$8.46
81003 Automated urinalysis test	48	45	$7.00	$2.20
83036 Hemoglobin A1C level	23	21	$37.09	$9.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	18	18	$28.11	$19.31
G0008 Administration of influenza virus vaccine	16	16	$30.25	$17.53
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$62.53	$62.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$102.00	$57.94
82306 Vitamin d-3 level	15	15	$101.60	$29.60
99497 Advance care planning, first 30 minutes	15	14	$197.00	$86.49
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$88.21	$15.24
82607 Cyanocobalamin (vitamin B-12) level	13	13	$51.15	$15.08
83540 Iron level	13	11	$27.38	$5.97
83550 Iron binding capacity	12	11	$34.33	$8.01
82728 Ferritin (blood protein) level	12	11	$53.67	$12.49
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$319.73	$171.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	160	$240.00	$110.96
99213 Established patient office or other outpatient visit, typically 15 minutes	176	148	$165.00	$76.49
36415 Insertion of needle into vein for collection of blood sample	173	150	$26.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$285.00	$118.64
80053 Blood test, comprehensive group of blood chemicals	100	93	$41.00	$10.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	73	$326.00	$149.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	84	77	$27.00	$7.75
80048 Blood test, basic group of blood chemicals (calcium, total)	69	65	$33.00	$8.41
84443 Blood test, thyroid stimulating hormone (TSH)	66	58	$66.00	$16.74
80061 Blood test, lipids (cholesterol and triglycerides)	62	62	$45.00	$13.36
81003 Automated urinalysis test	55	51	$7.00	$2.20
83036 Hemoglobin A1C level	35	33	$37.00	$9.67
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$88.00	$17.51
82306 Vitamin d-3 level	20	20	$101.00	$29.42
G0009 Administration of pneumococcal vaccine	16	16	$25.00	$17.08
G0008 Administration of influenza virus vaccine	16	16	$31.56	$17.12
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$144.00	$119.01
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$28.00	$19.22
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$55.08	$54.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$317.00	$169.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	127	$240.00	$110.02
99213 Established patient office or other outpatient visit, typically 15 minutes	121	101	$165.00	$75.29
36415 Insertion of needle into vein for collection of blood sample	87	82	$26.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$285.00	$117.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	69	66	$27.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	63	60	$41.00	$11.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	40	$326.00	$147.25
80048 Blood test, basic group of blood chemicals (calcium, total)	50	46	$33.00	$9.21
84443 Blood test, thyroid stimulating hormone (TSH)	49	46	$66.00	$18.30
81003 Automated urinalysis test	42	38	$7.00	$2.44
80061 Blood test, lipids (cholesterol and triglycerides)	37	37	$45.00	$14.58
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$88.00	$16.52
82306 Vitamin d-3 level	14	14	$101.00	$32.23
99497 Advance care planning, first 30 minutes	14	11	$195.00	$86.15
G0009 Administration of pneumococcal vaccine	14	14	$25.00	$16.80
83036 Hemoglobin A1C level	11	11	$37.00	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	207	$240.00	$108.22
99213 Established patient office or other outpatient visit, typically 15 minutes	266	206	$165.00	$73.50
36415 Insertion of needle into vein for collection of blood sample	181	156	$26.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$285.00	$118.01
80048 Blood test, basic group of blood chemicals (calcium, total)	138	120	$33.00	$10.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	98	89	$27.00	$9.40
80061 Blood test, lipids (cholesterol and triglycerides)	96	93	$45.00	$16.09
84443 Blood test, thyroid stimulating hormone (TSH)	87	82	$66.00	$20.33
80053 Blood test, comprehensive group of blood chemicals	74	67	$41.00	$12.78
G0008 Administration of influenza virus vaccine	64	63	$30.00	$20.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	49	$326.00	$144.75
81003 Automated urinalysis test	59	55	$7.00	$2.71
90662 Influenza vaccine split virus, preservative free	55	54	$52.00	$50.59
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$88.00	$17.25
83036 Hemoglobin A1C level	37	28	$37.00	$11.46
G0009 Administration of pneumococcal vaccine	34	34	$25.00	$20.73
G0103 Prostate cancer screening; prostate specific antigen test (psa)	26	26	$28.00	$22.26
82306 Vitamin d-3 level	21	21	$101.00	$35.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$427.00	$173.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$144.00	$105.59
90670 Pneumococcal vaccine for injection into muscle	16	16	$266.63	$196.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$257.00	$109.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$375.00	$166.55
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$317.00	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	331	200	$240.00	$107.61
36415 Insertion of needle into vein for collection of blood sample	220	167	$26.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	215	167	$165.00	$73.21
80048 Blood test, basic group of blood chemicals (calcium, total)	141	117	$33.00	$10.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	140	114	$27.00	$9.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$285.00	$116.48
80061 Blood test, lipids (cholesterol and triglycerides)	117	115	$45.00	$13.82
84443 Blood test, thyroid stimulating hormone (TSH)	87	80	$66.00	$22.59
80053 Blood test, comprehensive group of blood chemicals	70	67	$41.00	$13.45
81003 Automated urinalysis test	65	59	$7.00	$2.97
G0008 Administration of influenza virus vaccine	58	58	$30.00	$25.63
90662 Influenza vaccine split virus, preservative free	56	56	$51.57	$47.73
G0009 Administration of pneumococcal vaccine	43	43	$25.00	$24.50
90670 Pneumococcal vaccine for injection into muscle	34	34	$233.62	$184.12
83036 Hemoglobin A1C level	34	30	$37.00	$12.78
93000 Routine ekg using at least 12 leads including interpretation and report	34	33	$88.00	$16.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	27	$326.00	$145.61
82306 Vitamin d-3 level	32	31	$101.00	$39.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$427.00	$171.76
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$28.00	$24.73
82728 Ferritin (blood protein) level	16	15	$53.00	$18.33
83540 Iron level	16	15	$27.00	$8.70
83550 Iron binding capacity	16	15	$34.00	$11.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$317.00	$166.77
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$173.00	$75.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$144.00	$96.14

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CO 29920

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License CO 29920

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

83606076 (CO)

Medicaid State Provider ID

8146748 (WA)

Commercial Insurance / Payer ID Alaska Medicaid

MD3917W (WA)

Commercial Insurance / Payer ID Aetna/ushc Specialist

US1014629 (WA)

Commercial Insurance / Payer ID Railroad Medicare

390005685

Commercial Insurance / Payer ID Blue Shield

CO1543 (WA)

Commercial Insurance / Payer ID Aetna/ushc Pcp

US1014663 (WA)

Commercial Insurance / Payer ID Labor & Industry

0039589 (WA)

Hospital & Practice Group Affiliations

Colorado Mountain Medical, Llc

50 Buck Creek Rd, Avon, CO 816205428

Phone: 9709266350

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Physician Assistant - Medical

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Physician Assistant

Julie Current , PA-C

Physician Assistant

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Physician Assistant (Certified)

Dr. Stephen Mohr , MD

Urology

NPI 1033252580

Doctor of Medicine (M.D.)

Dr. Diane Voytko , MD

Family Medicine

NPI 1043212525

Doctor of Medicine (M.D.)

Dr. Darin Olson , MD, PhD

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NPI 1043324700

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Meghan Ahearn-Steven , PA-C

Physician Assistant

NPI 1053918714

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2017

Registered at 50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620 (Tel: 9709266340)

📍

Updated Business Mailing Address February 20, 2017

Registered at PO BOX 4330, AVON, CO 816204330 (Tel: 9709266340)

👤

Provider Name / Credentials Updated February 20, 2017

Recorded as MINDY COOPER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Internal Medicine (License #29920 in CO)

✅

NPI Profile Active November 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 04, 2015

Registered at 108 S FRONTAGE RD W, SUITE 101, VAIL, CO 816575053 (Tel: 9709266340)

📍

Updated Business Mailing Address November 04, 2015

Registered at PO BOX 1749, EDWARDS, CO 816321749 (Tel: 9709266340)

👤

Provider Name / Credentials Updated November 04, 2015

Recorded as MINDY COOPER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2015

Internal Medicine (License #29920 in CO)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659301851

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: February 20, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4330

Avon, CO 816204330

Phone: 9709266340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.