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DR. GARY HARRY COOPER MD
NPI 1487653663
Internal Medicine in South Lake Tahoe, CA

Active since July 19, 2005
2175 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5685(530) 544-2503 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Harry Cooper Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY HARRY COOPER MD (NPI 1487653663) is an individual internal medicine provider in South Lake Tahoe, California, licensed in California (G19546) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1487653663
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARY HARRY COOPERCredential: MD
Location Address2175 SOUTH AVESouth Lake Tahoe, CA 96150-7024
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Phone(530) 543-5685
Fax(530) 544-2503
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateSeptember 20, 2012
✔ NPI 1487653663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G19546
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License G19546 (CA)
2175 SOUTH AVE, South Lake Tahoe, CA 96150
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Other Identifiers 3

OtherP00213444CA · Medicare Rr
Medicare PIN00G195461CA
Medicare UPINA40687

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERIE LONG WHNP
Obstetrics & Gynecology
2175 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5711
MEGAN JO GALLOWAY CNM
Advanced Practice Midwife
2175 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5711
KATHLEEN ANN HOLOYDA
Plastic Surgery
2175 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5799
STEPHEN OSTERBERG
Surgery
2175 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Cooper's NPI number?

The NPI number for Gary Cooper is 1487653663. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Gary Cooper located?

Gary Cooper practices at 2175 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5685.

What is Gary Cooper's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gary Cooper was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.