Cooper C Schraudenbach is a Family Medicine Physician in the GRAND CANYON area and has over 27 years of experience. Cooper C Schraudenbach primary office location is at 1 CLINIC RD and new patients are welcome to contact this healthcare provider for an appointment. He attended Hahnemann University College Of Medicine and graduated 1997
Cooper C Schraudenbach is affiliated with one hospital in the GRAND CANYON area, FLAGSTAFF MEDICAL CENTER. The NPI number is 1790848299 and the information was updated approximately 3 years ago.
Cooper C Schraudenbach is affiliated with one medical group in the GRAND CANYON area, NORTH COUNTRY HEALTHCARE INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
License Number | State |
---|---|
0348 | MP |
45923 | AZ |
A067909 | CA |
Board Certifications |
---|
Family Medicine |
Type/Issuer | Identifier | State |
---|---|---|
LICENSE | A67909 | CA |
LICENSE | 0348 | MP |
LIC | 12456 | HI |
Taxonomy | State | Primary? |
---|---|---|
Family Medicine Physician - Taxonomy Code 207Q00000X | AZ | Y |
Family Medicine Physician - Taxonomy Code 207Q00000X | CA | N |
Family Medicine Physician - Taxonomy Code 207Q00000X | MP | N |
Participates in PECOS: | YES |
PECOS Individual Enrollment ID: | I20100414000608 |
PECOS Individual PAC ID: | 1456440064 |
Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
Eligible to order/refer Durable Medical Equipment (DME) | Yes |
Eligible to order/refer Home Health Agency (HHA) | Yes |
Eligible to order/refer Power Mobility Devices (PMD) | Yes |