Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861453334 Individual Practitioner Male Practitioner

Mark Abe Cooper , PA-C

Physician Assistant • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Mark Cooper, PA-C is a registered healthcare professional specializing in Physician Assistant in Orange Park, FL. Practice services are available at 1895 KINGSLEY AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1895 Kingsley Ave.
Suite 303

Orange Park, FL 32073

Telephone 9042726161
Fax 9042729797
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
52 Specialists

Practicing in Orange Park, FL (10376 Statewide)

Telehealth Adoption Rate
5.8% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA1799

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
461070816A (GA)
Medicaid State Provider ID
2907216-00 (FL)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Cindy Anderson , PA-C

Physician Assistant

NPI 1023239928

Physician Assistant (Certified)

Dr. David Michal , MD

Internal Medicine - Nephrology

NPI 1427051036

Doctor of Medicine (M.D.)

Susan Dewitt , ARNP-C

Nurse Practitioner - Family

NPI 1467422717

ARNPC

Dr. Reuben Maggard , MD

Internal Medicine

NPI 1558572065

Doctor of Medicine (M.D.)

Dr. Neda Shahoori , MD

Internal Medicine - Nephrology

NPI 1801327705

Doctor of Medicine (M.D.)

Dr. Ramesh Kotihal , MD

Internal Medicine - Nephrology

NPI 1811055080

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2009

Registered at 1895 KINGSLEY AVE., SUITE 303, ORANGE PARK, FL 32073 (Tel: 9042726161)

📍
Updated Business Mailing Address March 04, 2009

Registered at 1895 KINGSLEY AVE., SUITE 303, ORANGE PARK, FL 32073 (Tel: 9042726161)

👤
Provider Name / Credentials Updated March 04, 2009

Recorded as MARK COOPER, P.A.-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2009

Physician Assistant (License #PA1799 in FL)

🟢
Initial NPI Registration & Enumeration March 31, 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: 1861453334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: March 04, 2009
Sole Proprietor: No

Mailing Address

1895 Kingsley Ave., Suite 303

Orange Park, FL 32073

Phone: 9042726161

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.