Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COOPER JOHNSTON, D.O.
DeactivatedCOOPER JOHNSTON, D.O. is a Family Medicine healthcare provider located in PHOENIX, Arizona. NPI 1073992087 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · PHOENIX, AZ
This NPI has been deactivated.
The record was deactivated on June 17, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1073992087
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2015 (5.0712328767123 yrs)
- Last Updated
- May 21, 2024
- Deactivated
- Jun 17, 2020
- Licenses
-
007402 (AZ)007402 (AZ)
Practice Information
- Address
-
4122 N 17TH STPHOENIX, AZ, 850165922Browse AZ providers · Browse ZIP 85016
- Phone
- 9285431515
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| WARREN D. KUIPERS | MD | 1578566626 |
| WILLIAM WALTER HOLLAND | M.D. | 1831192590 |
| JUDY MARIE PINSONNEAULT | D.O. | 1184627648 |
| SHAYNA M MANSFIELD | D.O. | 1780687087 |
| LUIS M IRIZARRY | MD | 1487658175 |
| CHERYL L LEIGH | FNP | 1235133877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.