Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cooper C Schraudenbach, MD

Individual provider Family Medicine Physician · NPI 1790848299

Cooper C Schraudenbach, MD is a Family Practice in Grand Canyon, Arizona. Graduated from Hahnemann University College of Medicine in 1997, 29 years ago. Practices with North Country Healthcare Inc, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California and Northern Mariana Islands.

Years since qualifying
29
Trained at
Hahnemann University College of Medicine
Licensed in
AZ, CA, MP
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Clinic Rd
Grand Canyon, AZ 86023-0290
Phone: (928) 638-2551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2920 N 4th St, Flagstaff, AZ 86004-1816 — (928) 522-9400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45923 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0348 (MP)
Family Medicine Physician Taxonomy 207Q00000X · Licence A067909 (CA)

Record details

NPI number1790848299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing addressPo Box 1231, Tucson, AZ 85702-1231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice North Country Healthcare Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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