CARY COPELAND DPM INC NPI 1043255474

NPI Information

NPI: 1043255474
Provider Name: CARY COPELAND DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 36D0984896

Address:
1255 E ASH ST
PIQUA, OH
ZIP 45356
Phone: (937) 773-0980
Get Directions

CARY COPELAND DPM INC is a foot and ankle surgery podiatrist in Piqua, OH. CARY COPELAND DPM INC NPI is 1043255474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1255 E ASH ST
PIQUA, OH
ZIP 45356-131
Phone: (937) 773-0980
Fax: (937) 773-1006

The provider's authorized official is Matthew Collins .
The authorized official title is Owner and has the following contact phone number (301) 933-7133.

The CLIA number assigned to this NPI record is 36D0984896 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 12/18/2023.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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
1	2010013	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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