MEDICARE: DAVID SETH COOPER M.D.

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
1	2080P0202X	Pediatric Cardiology Physician	35077182	OH
2	2080P0202X	Pediatric Cardiology Physician	46953	KY
3	2080P0203X	Pediatric Critical Care Medicine Physician	01095170A	IN
4	2080P0203X	Pediatric Critical Care Medicine Physician	49653	KY
5	2080P0203X	Pediatric Critical Care Medicine Physician	35077182	OH
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35077182	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730123852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SETH COOPER M.D.

Provider Business Mailing Address
First Line	:	3333 BURNET AVENUE
Second Line	:	ML 2003
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4432
Fax Number	:	513-636-3952

Provider Business Practice Location Address
First Line	:	3333 BURNET AVENUE
Second Line	:	ML 2003
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3039
Country	:	US
Telephone Number	:	513-636-4432
Fax Number	:	513-636-3952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	01/21/2025

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Directions to “ DAVID SETH COOPER M.D.” Practice Location

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