Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386050524 Individual Practitioner Female Practitioner

Dr. Kimberly Ann Cooper , DO

Pediatrics • Greendale, IN

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Cooper, DO is a registered healthcare professional specializing in Pediatrics in Greendale, IN. Practice services are available at 1640 FLOSSIE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1640 Flossie Dr

Greendale, IN 470258424

Telephone 8776707264
Fax 8125391824

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Greendale, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Greendale, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2022-05-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01087306A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 34012820

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2367501 (LA)
Medicaid State Provider ID
0226978 (OH)

Secondary Practice Locations

8415 Goodwood Blvd, Ste 202

Baton Rouge, LA 708067851

Phone: 2257658013

4627 Aicholtz Rd

Cincinnati, OH 452441447

Phone: 5137532820

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Allison Kippler , MD

Student in an Organized Health Care Education/Training Program

NPI 1215632450

Doctor of Medicine (M.D.)

NPI 1548576531

Advanced Practice Registered Nurse, Doctor of Nursing Practice

Dr. Aleah Gibson , MD

Family Medicine

NPI 1780792903

Doctor of Medicine (M.D.)

Kimberly Myers , APRN

Nurse Practitioner

NPI 1952839961

Advanced Practice Registered Nurse

NPI 1982993697

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location May 18, 2022

Registered at 1640 FLOSSIE DR, GREENDALE, IN 470258424 (Tel: 8776707264)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Pediatrics (License #01087306A in IN)

📍
Updated Practice Location May 28, 2019

Registered at 4627 AICHOLTZ RD, CINCINNATI, OH 452441447 (Tel: 5137532820)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active September 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2017

Registered at 559 OLD STATE ROUTE 74, CINCINNATI, OH 452441518 (Tel: 5137532820)

📍
Updated Business Mailing Address September 11, 2017

Registered at 5400 DUPONT CIRCLE SUITE A, MILFORD, OH 451502770 (Tel: (513) 576-7700)

👤
Provider Name / Credentials Updated September 11, 2017

Recorded as KIMBERLY COOPER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Pediatrics (License #34012820 in OH)

📍
Updated Practice Location July 13, 2017

Registered at 559 OLD STATE ROUTE 74, CINCINNATI, OH 452441518 (Tel: 5137532821)

📍
Updated Business Mailing Address July 13, 2017

Registered at 5400 DUPONT CIRCLE SUITE A, MILFORD, OH 451502770 (Tel: 5135767700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Pediatrics (License #34012820 in OH)

NPI Profile Active August 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2014

Registered at 8415 GOODWOOD BLVD, STE 202, BATON ROUGE, LA 708067851 (Tel: 2257658013)

📍
Updated Business Mailing Address August 04, 2014

Registered at 7777 HENNESSY BLVD, SUITE 6001, BATON ROUGE, LA 708084300

👤
Provider Name / Credentials Updated August 04, 2014

Recorded as KIMBERLY COOPER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 09, 2014

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: 1386050524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2014
Last Update: May 18, 2022
Sole Proprietor: No

Mailing Address

5400 Dupont Circle Suite A

Milford, OH 451502770

Phone: 5135767700

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.