DR. MITCHELL LOPACKI (NPI# 1316304942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316304942 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL LOPACKI |
| Other Name | N/A N/A N/A |
| Credential | DO |
| Practice Address |
1650 Cochrane Cir Bldg 7500 Fort Carson CO 80913-4613 |
| Practice Telephone | 7195267000 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1694 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 984311000 | 2539681330 |
| Street Address |
1650 COCHRANE CIR BLDG 7500 |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962876029 | Matthew L Earl | Family Medicine | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4613 | 2015-11-30 |
| 1194163550 | Jessica A Warneke | Preventive Medicine | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4613 | 2013-06-07 |
| 1518260728 | Candace Lawrenz | Pharmacist | 1650 Cochrane Cir Bldg 7500, Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2010-12-09 |
| 1316266539 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4613 | 2010-05-27 |
| 1154561074 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4603 | 2009-03-05 |
| 1215192133 | Elizabeth A Searing | Audiologist | 1650 Cochrane Cir Bldg 7500, Audiology, Fort Carson, CO 80913-4613 | 2008-07-21 |
| 1831377894 | Michele Renee Kleinsorge | Social Worker | 1650 Cochrane Cir Bldg 7500, Fort Carson, CO 80913-4603 | 2008-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558787747 | Heung Noh | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2014-03-11 |
| 1003159146 | Gaelen Royce Horne | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2013-03-27 |
| 1396002259 | Loren E Tross | General Practice | 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | 2012-04-17 |
| 1972879880 | Natasha J Pyzocha | General Practice | 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 | 2012-03-25 |
| 1477848539 | Eugene Kim | General Practice | 1650 Cochrane Cir, 1650 Cochrane Circle, Fort Carson, CO 80913-4604 | 2011-06-16 |
| 1477847333 | Laura Stockwell | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | 2011-06-07 |
| 1326331521 | Anil Joseph Kulangara | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Fort Carson, CO 80913-4604 | 2011-05-20 |
| 1750674313 | Ryan Vetor | General Practice | 1650 Cochrane Cir, Evans Army Community Hospital, Internal Medicine, Fort Carson, CO 80913-4613 | 2011-05-16 |
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| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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| 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.