Estacia Diann Cooper Nurse Practitioner
3600 Kolbe Rd, Suite 205, Lorain, OH 44053-1677


Estacia Diann Cooper is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1316196959. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4981756640. The primary specialty is NURSE PRACTITIONER. The organization is MERCY HEALTH PHYSICIANS LORAIN LLC. The address is 3600 Kolbe Rd, Suite 205, Lorain, OH 44053-1677. The zip code is 44053.


Estacia Diann Cooper · 3600 Kolbe Rd, Suite 205, Lorain, OH 44053-1677

Nation Provider ID 1316196959
PAC ID by PECOS 4981756640
Professional Enrollment ID I20121210000008
Last Name COOPER
First Name ESTACIA
Middle Name DIANN
Gender F
Medical School Name OTHER
Graduation Year 2008
Primary Specialty NURSE PRACTITIONER
Primary Specialty MERCY HEALTH PHYSICIANS LORAIN LLC
Phone Number 4409606431
Group Practice PAC ID 1355474172
Number of Group Practice Members 87
Address 3600 KOLBE RD
SUITE 205
LORAIN, OH 440531677
Claims Based Hospital Affiliation Claim Control Number (CCN): 360172
Legal Business Name: MERCY REGIONAL MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 361306
Legal Business Name: MERCY ALLEN HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

subpremise: 205
street_number: 3600
route: Kolbe Road (Kolbe Rd)
locality, political: Lorain
admin_level_2, political: Lorain County
admin_level_1, political: Ohio (OH)
country, political: United States (US)
postal_code: 44053
types : subpremise
latitude: 41.436185
longitude: -82.2373561
latlng: (41.436185, -82.2373561)


Mercy Health Physicians Lorain LLC · Medicare Physician

Name Address Specialty
Amber Hill 1120 E Broad St, Elyria, OH 44035-6306 CLINICAL PSYCHOLOGIST
Nicole Leach 1607 State Rd, Vermilion, OH 44089-9142 NURSE PRACTITIONER
Christopher Haas 3600 Kolbe Rd, Lorain, OH 44053-1677 UROLOGY
Raquel Grant Venable 578 N Leavitt Rd, Amherst, OH 44001-1131 PHYSICIAN ASSISTANT
Beverly Paige 3600 Kolbe Rd, Lorain, OH 44053-1677 GENERAL SURGERY
James Arnold 1120 E Broad St, Elyria, OH 44035-6306 NURSE PRACTITIONER
Bradley Barker 3600 Kolbe Rd, Lorain, OH 44053-1677 FAMILY PRACTICE
Charles Butrey 1120 E Broad St, Elyria, OH 44035-6306 FAMILY PRACTICE
Patrick Beeman 3700 Kolbe Rd, Lorain, OH 44053-1611 OBSTETRICS/GYNECOLOGY
Heidi Lencoski 578 N Leavitt Rd, Amherst, OH 44001-1131 OBSTETRICS/GYNECOLOGY
Vijay Kakumanu 578 N Leavitt Rd, Amherst, OH 44001-1131 INTERNAL MEDICINE
Rita Abbud 3600 Kolbe Rd, Lorain, OH 44053-1677 INFECTIOUS DISEASE
Ronald Carissimi 3600 Kolbe Rd, Lorain, OH 44053-1677 FAMILY PRACTICE
Ibrahim Bshara 578 N Leavitt Rd, Amherst, OH 44001-1131 INTERNAL MEDICINE
Florencio Yuzon 578 N Leavitt Rd, Amherst, OH 44001-1131 INTERNAL MEDICINE
Beatrice Cardona Weese 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 NURSE PRACTITIONER
Kathleen Malear 3600 Kolbe Rd, Lorain, OH 44053-1677 NURSE PRACTITIONER
Craig Recko 3600 Kolbe Rd, Lorain, OH 44053-1677 FAMILY PRACTICE
Ismail Ahmed 1120 E Broad St, Elyria, OH 44035-6306 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Wes Holiday 578 N Leavitt Rd, Amherst, OH 44001-1131 INTERVENTIONAL CARDIOLOGY

Zip 44053 · Nurse Practitioner · Medicare Physician

Name Address Specialty
Kristine Komosa 3600 Kolbe Rd, Lorain, OH 44053-1652 NURSE PRACTITIONER
Joni Ruffner 3600 Kolbe Rd, Lorain, OH 44053-1652 NURSE PRACTITIONER
Jessica Smith 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Danielle Zimmerer 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Jennifer Shockley 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Carly Genova 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Lynn Stackhouse 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Anna Broz 3600 Kolbe Rd, Lorain, OH 44053-1652 NURSE PRACTITIONER
Kafilat Kelani 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Dawn Gibson 3600 Kolbe Rd, Lorain, OH 44053-1601 NURSE PRACTITIONER
Kimberley Vales 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Jessica Springer 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Lisa Trockley 3500 Kolbe Rd, Lorain, OH 44053-1632 NURSE PRACTITIONER
Shasta Mitchell 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Robin Marr 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Donna Boyd-smith 3600 Kolbe Rd, Lorain, OH 44053-1652 NURSE PRACTITIONER
Shannon Bailey 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Jordan Dodge 3700 Kolbe Rd, Lorain, OH 44053-1611 NURSE PRACTITIONER
Jeanine Willis 4804 Leavitt Rd, Lorain, OH 44053-2382 NURSE PRACTITIONER
Kathleen Malear 3600 Kolbe Rd, Lorain, OH 44053-1677 NURSE PRACTITIONER

Zip 44053 · Medicare Physician

Name Address Specialty
Jonathan Wynbrandt 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Joy Iguobadia 3700 Kolbe Rd, Lorain, OH 44053-1611 FAMILY PRACTICE
Shane Yates 3700 Kolbe Rd, Lorain, OH 44053-1697 ANESTHESIOLOGY
Isteaq Ahmed 3700 Kolbe Rd, Lorain, OH 44053-1611 FAMILY PRACTICE
Joseph Lopez 3700 Kolbe Rd, Lorain, OH 44053-1611 GENERAL SURGERY
Scott Forster 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Diane Huey 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Bharat Shah 4804 Leavitt Rd, Lorain, OH 44053-2382 PAIN MANAGEMENT
Jack Roberts 1680 Cooper Foster Park W Rd, Lorain, OH 44053-3657 AUDIOLOGIST
Paul Durand 4340 Leavitt Rd D, Lorain, OH 44053-2386 FAMILY PRACTICE
Dimitra Servetas 3700 Kolbe Rd, Lorain, OH 44053-1611 FAMILY PRACTICE
Girish Kunapareddy 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Nancy Danielson 6140 S Broadway Ave, Lorain, OH 44053-3821 CLINICAL NURSE SPECIALIST
Kristine Komosa 3600 Kolbe Rd, Lorain, OH 44053-1652 NURSE PRACTITIONER
Ristenka Prnarova 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Peter Kibbe 3700 Kolbe Rd, Lorain, OH 44053-1611 INTERNAL MEDICINE
Abdul Razack 3600 Kolbe Rd, Lorain, OH 44053-1652 GASTROENTEROLOGY
Sabahat Iqbal 3700 Kolbe Rd, Lorain, OH 44053-1611 FAMILY PRACTICE
James Carroccio 3600 Kolbe Rd, Lorain, OH 44053-1677 FAMILY PRACTICE
Ronald Carissimi 3600 Kolbe Rd, Lorain, OH 44053-1677 FAMILY PRACTICE