DR. MINDY ELLEN COOPER-SMITH M.D. NPI 1396734877

NPI Information

  • NPI: 1396734877
  • Provider Name: DR. MINDY ELLEN COOPER-SMITH, M.D.
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2170 SOUTH AVE
    BARTON MEMORIAL HOSPITAL PATHOLOGY
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 543-5980

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NPI Details

DR. Mindy Ellen Cooper-smith, M.D. is an anatomic pathology and clinical pathology pathology in South Lake Tahoe, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Mindy Ellen Cooper-smith, M.D. NPI is 1396734877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2170 SOUTH AVE
BARTON MEMORIAL HOSPITAL PATHOLOGY
SOUTH LAKE TAHOE, CA
ZIP 96150
Phone: (530) 543-5980
Fax: (530) 543-0124

The NPI 1396734877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology5336NEVADANo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology12991ARIZONANo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyG39196CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A47733MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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