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DR. MARY SANDRA COPLEY MD NPI 1629008495


NPI Information

NPI: 1629008495
Provider Name: DR. MARY SANDRA COPLEY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1448 10TH AVE
SUITE 100
HUNTINGTON, WV
ZIP 25701
Phone: (304) 529-0753
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DR. Mary Sandra Copley, MD is a family medicine in Huntington, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mary Sandra Copley, MD NPI is 1629008495. 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:

1448 10TH AVE
SUITE 100
HUNTINGTON, WV
ZIP 25701-581
Phone: (304) 529-0753
Fax: (304) 529-0591

The NPI 1629008495 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 7/4/2006 and was last updated on 1/30/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine42930KENTUCKYNo
2207Q00000XFamily Medicine16628WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
164699838MEDICAIDKENTUCKY
2P400020211MEDICARE PINKENTUCKY
3C04175651MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
4WV4591IMEDICARE PINWEST VIRGINIA
50044781000MEDICAIDWEST VIRGINIA
6P01671000MEDICARE OSCAR/CERTIFICATIONWEST VIRGINIA
7F70780MEDICARE UPIN
89358681OTHERWEST VIRGINIAMEDICARE GROUP
90942109MEDICAIDOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.