NPI 1235540154 · live from the CMS NPI Registry
Shontreal Monique Cooper, M.D.
Obstetrics & Gynecology in Grand Rapids, MI. National Provider Identifier 1235540154, active.
NPI record
| NPI | 1235540154 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 25 Michigan St Ne Ste 5200, Grand Rapids, MI 49503 |
| Practice phone | 616-391-3681 |
| Mailing address | 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503 |
| Enumerated | May 13, 2014 |
| Last updated | June 3, 2025 |
| Sole proprietor | No |
| Other names | Shontreal Cooper |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | MT208438 (PA) |
| Obstetrics & Gynecology | 207V00000X | 063562 (CT) |
| Obstetrics & Gynecology | 207V00000X | ME162074 (FL) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 063562 (CT) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 4301509050 (MI) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 35C.002283 (OH) |
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | V1667 (TX) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | 35C.002283 (OH) |
| Obstetrics & Gynecology primary | 207V00000X | 4301509050 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.