MEDICARE: DR. MARK HAYDEN 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	208600000X	Surgery Physician	26699	WV
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	4301512898	MI
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	41864	TN
4	208600000X	Surgery Physician	41864	TN
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	26699	WV
6	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	35150314	OH
7	208600000X	Surgery Physician	W6448	TX
8	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	W6448	TX

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	:	1346376613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK HAYDEN COOPER M.D.

Provider Business Mailing Address
First Line	:	730 W MARKET ST STE 2K
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-4602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 W MARKET ST STE 2K
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-4602
Country	:	US
Telephone Number	:	419-996-4011
Fax Number	:	419-996-4012

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

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	06/10/2026

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Directions to “ DR. MARK HAYDEN COOPER M.D.” Practice Location

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