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Deactivated NPI 1104894039 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Cooper , MD

Orthopaedic Surgery • Coral Gables, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2006
NPI Deactivation Date May 22, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Cooper, MD was a registered Orthopaedic Surgery practicing in Coral Gables, FL. Throughout an active medical career spanning 18 years, Dr. Cooper provided care at the practice location at 1150 CAMPO SANO AVE until profile deactivation on 2024-05-22.

Practice Location & Contact Primary Location

Practice Address

1150 Campo Sano Ave
Suite 301

Coral Gables, FL 331461174

Telephone 7863083350
Fax 7863083362
Associated Practice Facility / Clinic
🏢 Uhz Sports Medicine Institute Facility NPI 1699740969

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Coral Gables, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
28 Specialists

Practicing in Coral Gables, FL (1597 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME0013207

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. John Jennings , MD

Orthopaedic Surgery

NPI 1013983964

Doctor of Medicine (M.D.)

Robert Strubbe , PA-C

Physician Assistant - Surgical

NPI 1417909128

Physician Assistant (Certified)

Kelly Harrelson , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1740697614

Certified Athletic Trainer, Licensed Athletic Trainer

Dr. Richard Levitt , MD

Orthopaedic Surgery

NPI 1881661742

Doctor of Medicine (M.D.)

Dr. F Harlan Selesnick , MD

Orthopaedic Surgery

NPI 1932175890

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 22, 2024

Record deactivated on May 22, 2024

NPI Profile Active May 01, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 01, 2009

Registered at 1150 CAMPO SANO AVE, SUITE 301, CORAL GABLES, FL 331461174 (Tel: 7863083350)

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Updated Business Mailing Address May 01, 2009

Registered at 1150 CAMPO SANO AVE, SUITE 301, CORAL GABLES, FL 331461174 (Tel: 7863083350)

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Provider Name / Credentials Updated May 01, 2009

Recorded as JACK COOPER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2009

Orthopaedic Surgery (License #ME0013207 in FL)

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Initial NPI Registration & Enumeration March 08, 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: 1104894039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: May 01, 2009
Deactivation Date: May 22, 2024

Mailing Address

1150 Campo Sano Ave, Suite 301

Coral Gables, FL 331461174

Phone: 7863083350

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.