DR. KOLE JORDAN KOPNICKY (NPI# 1558682716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558682716 |
| Entity Type | Individual |
| Full Name | DR. KOLE JORDAN KOPNICKY |
| Credential | D.C. |
| Practice Address |
4015 Interstate 45 N Conroe TX 77304-4901 |
| Practice Telephone | 9365224731 |
| Practice Fax Number | 9365224736 |
| Mailing Telephone | 9365224731 |
| Mailing Fax Number | 9365224736 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 11485 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICARE | 00J21A | 01 |
| TX | GROUP MEDICAID | 094010801 | 01 |
| Street Address |
4015 INTERSTATE 45 N |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007343 | Gregg M Hallbauer | Family Medicine | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2005-07-18 |
| 1114376647 | Carol Ann Leibold | Nurse Practitioner | 4015 Interstate 45 N, Suite 220, Conroe, TX 77304-5074 | 2016-06-06 |
| 1063600591 | Mark Anthony Walker | Physical Therapist | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2007-10-10 |
| 1528181385 | Patricia Green | Nurse Practitioner | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2007-04-09 |
| 1184753550 | Jane Bomer | Occupational Therapist | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2007-03-03 |
| 1821185703 | Rodney Jason Laningham | Family Medicine | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2006-10-10 |
| 1700973682 | Robert Jeremy Laningham | Family Medicine | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2006-10-10 |
| 1407943335 | Brian Keith Mcgee | Chiropractor | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2006-10-10 |
| 1578651402 | Francis Joseph Morrison | Family Medicine | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2006-10-10 |
| 1700997665 | Joshua Blake Dubose | Physician Assistant | 4015 Interstate 45 N, Conroe, TX 77304-4901 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588148266 | Chelsea Kay Gillam | Chiropractor | 9668 Bimms Dr, Conroe, TX 77385-7738 | 2018-09-19 |
| 1992208151 | Jill W Crocker | Chiropractor | 1336 League Line Rd Ste 200, Conroe, TX 77304-3457 | 2018-03-14 |
| 1417456377 | Martha Manzanarez | Chiropractor | 3303 W Davis St, Conroe, TX 77304-1862 | 2018-02-06 |
| 1871926006 | Chantelle Renee Kempinski | Chiropractor | 2253 N Loop 336 W Ste C, Conroe, TX 77304-3630 | 2013-08-12 |
| 1639420607 | Dana Mckirahan Dc Pa | Chiropractor | 1140 N Fm 3083 Rd W, Suite 700, Conroe, TX 77304-4566 | 2012-10-01 |
| 1326311887 | Kent A. Miller, P. C. | Chiropractor | 903 N Loop 336 W Ste C, Conroe, TX 77301-1161 | 2012-02-14 |
| 1841489614 | Accumed Medispa,llc | Chiropractor | 333 N Rivershire Dr Ste 290, Conroe, TX 77304-3100 | 2007-10-17 |
| 1528263605 | Cody Milton Ondracek | Chiropractor | 611 W Davis St, Conroe, TX 77301-2702 | 2007-06-18 |
| 1730308941 | Abdol Ghazi | Chiropractor | 3001 W Davis St, Conroe, TX 77304-2035 | 2007-04-25 |
| 1467576884 | Derek Abel Martin | Chiropractor | 13843 Hwy 105 West, Suite 105, Conroe, TX 77304 | 2007-03-19 |
| Find all providers in CONROE | ||||
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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.