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

Crystal Cooper, MD

Individual provider Emergency Medicine Physician · NPI 1689103798

Crystal Cooper, MD is a Family Practice in Saint Clair Shores, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Michigan.

Years since qualifying
10
Licensed in
IL, MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone: (586) 777-2050
Fax: (586) 777-2189
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence EMC0001216 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036153220 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301112029 (MI)

Record details

NPI number1689103798
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022
Mailing address24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores