Ellen Michele Cooper, MD
Surgery in Truckee, CA. Individual provider (NPI-1).
NPI number1003920596
StatusActive
Last updated in NPPESFeb 16, 2012
Details
- NPI
- 1003920596
- Entity type
- Individual (NPI-1)
- Name
- Ellen Michele Cooper
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2006
- Last updated
- Feb 16, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A116674 | CA | Yes |
| 208600000X | Surgery | ML20008204 | WA |
Practice location
10051 Lake Ave Ste 4Truckee, CA 96161-4870
Phone 530-587-7698
Mailing address
10051 Lake Ave Ste 4Truckee, CA 96161-4870
Phone 530-587-7698
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Other Surgery Physician providers in Truckee, CA
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- Lawrence A Danto, M.D.NPI 1427166974
- David G. Kitts, M.D., INCNPI 1508987710
- David G. Kitts, M.D.NPI 1265430946
All 5 Surgery Physician providers in Truckee · All 695 providers in Truckee
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