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NPI Code Detail

MEDICARE: DAVID WAYNE COOPER MD

MEDICARE: DAVID WAYNE COOPER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician01092439AIN
2207X00000XOrthopaedic Surgery Physician01092439AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101092439AOTHERINSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215490784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WAYNE COOPER MD
Provider Business Mailing Address
First Line : 8320 E WALKER SPRINGS LN STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3120
Country : US
Telephone Number : 865-769-4500
Fax Number : 865-769-4501
Provider Business Practice Location Address
First Line : 260 FORT SANDERS WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3355
Country : US
Telephone Number : 865-558-4400
Fax Number : 865-558-4421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2019
Last Update Date : 01/14/2026

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Directions to “ DAVID WAYNE COOPER MD” Practice Location

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