DR. CARL D COPPOLA (NPI# 1023006681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023006681 |
| Entity Type | Individual |
| Full Name | DR. CARL D COPPOLA |
| Credential | M.D. |
| Practice Address |
2429 Bush Ridge Drive Suite 103 Louisville KY 40245-5914 |
| Mailing Address |
800 Towner Pl Anchorage KY 40223-2567 |
| Practice Telephone | 5028933683 |
| Practice Fax Number | 5028931662 |
| Mailing Telephone | 5023864031 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 28995 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | 040011473 | 01 |
| KY | PASSPORT | 1052620 | 01 |
| KY | BCBS | 2862 | 01 |
| KY | 64289952 | 05 | |
| KY | ANTHEM | 000000045699 | 01 |
| Street Address |
2429 BUSH RIDGE DRIVE SUITE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40245-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247753 | Stepping Stones Pediatric Therapy, LLC | Early Intervention Provider Agency | 330 Cranbury Way, Louisville, KY 40245 | 2020-02-20 |
| 1790324333 | Joseph Strano | Pharmacist | 12450 Lagrange Road, Louisville, KY 40245 | 2019-12-30 |
| 1174160725 | Anne S Hill | Technician | 16621 Taunton Vale Rd, Louisville, KY 40245 | 2019-12-03 |
| 1750808937 | Amy Judy | Assistant Behavior Analyst | 4512 Meadowlark Manor Dr, Louisville, KY 40245 | 2017-08-28 |
| 1104356567 | Mmr Cardiovascular Consulting LLC | Internal Medicine | 1101 Glenlake Way, Louisville, KY 40245 | 2017-06-18 |
| 1952830135 | Staci Marie Trofimov | Dietitian, Registered | 13008 Willow Forest Drive, Louisville, KY 40245 | 2017-06-09 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1861867830 | Jamila Hadden | Counselor | 111 Parkview Dr., Louisville, KY 40245 | 2015-12-02 |
| 1538570312 | Brian Johnson | Case Manager/Care Coordinator | 4717 Middlesex Drive, 4717 Middlesex Drive, Louisville, KY 40245 | 2014-05-14 |
| 1033535828 | Genesis Eldercare Physician Services LLC | Nurse Practitioner | 16605 Chestnut Glen Pl, Louisville, KY 40245 | 2014-03-17 |
| Find all providers in zip 40245 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720245657 | Sean Michael Maguire | Otolaryngology | 4600 Shelbyville Rd, Suite 220, Louisville, KY 40207-3326 | 2008-05-19 |
| 1548441850 | Dr. Harold Blevins | Otolaryngology | 5129 Dixie Hwy Ste 209, Louisville, KY 40216-1727 | 2007-11-15 |
| 1194929018 | Aesthetic Specialists Pllc | Otolaryngology | 10262 Shelbyville Rd, Louisville, KY 40223-2955 | 2007-06-13 |
| 1083731277 | Premier Ent and Allergy, Pllc | Otolaryngology | 2429 Bush Ridge Dr Ste 103, Louisville, KY 40245-5914 | 2007-03-23 |
| 1659420800 | Harold W. Blevins, M.d.,p.s.c. | Otolaryngology | 3999 Dutchmans Ln Ste 3a, Louisville, KY 40207-4747 | 2007-01-09 |
| 1912061599 | Jeffrey Brian Jorgensen | Otolaryngology | 401 E Chestnut St Unit 170, Louisville, KY 40202 | 2006-12-20 |
| 1821046426 | Harold W Blevins | Otolaryngology | 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207-4714 | 2006-05-05 |
| 1730188285 | Jolene H Boswell | Otolaryngology | 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 | 2005-07-18 |
| 1467450049 | Andrew Simon Mickler | Otolaryngology | 3999 Dutchmans Ln, Suburban Medical Plaza I Ste 2g, Louisville, KY 40207-4729 | 2005-07-08 |
| 1720084262 | Kenneth Lorne Balcombe | Otolaryngology | 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205-3372 | 2005-06-21 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40245 |
Please comment or provide details below to improve the information on DR. CARL D COPPOLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.