COPLEY MEMORIAL HOSPITAL, INC. (NPI# 1619466034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619466034 |
Entity Type | Organization |
Organization Name | COPLEY MEMORIAL HOSPITAL, INC. |
Other Organization Name | RUSH COPLEY MULTISPECIALTY GROUP PRACTICE |
Practice Address |
2040 Ogden Ave Ste 217 Aurora IL 60504-7205 |
Mailing Address |
2000 Ogden Ave Aurora IL 60504-5893 |
Practice Telephone | 6304994721 |
Mailing Telephone | 6304994721 |
Enumeration Date | 2018-05-02 |
Last Update Date | 2020-08-24 |
Authorized Official Name | STACEY RIES (DEPUTY GENERAL COUNSEL) |
Authorized Official Telephone | 6304994721 |
Is Organization Subpart | Y |
Parent Organization Name | COPLEY MEMORIAL HOSPITAL, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Rush Copley Endocrinology | Other Name - Individual/Organization |
Rush Copley Multispecialty Group Practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295882561 | Copley Memorial Hospital, Inc. | General Acute Care Hospital | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2007-01-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | COPLEY MEMORIAL HOSPITAL, INC | 2000 Ogden Ave, Aurora, IL 60504-7222 |
Street Address |
2040 OGDEN AVE STE 217 |
City | AURORA |
State | IL |
Zip Code | 60504-7205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528205259 | Mini Sara Cherian | Internal Medicine | 2040 Ogden Ave Ste 217, Aurora, IL 60504-7205 | 2009-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
Find all providers in zip 60504 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063615433 | Sarah E Mayson | Internal Medicine | Campus Box F732, 1635 Aurora Court, Suite 6600, University of Colorado Hospital Endocrinology Clinic, Aurora, CO 80045 | 2007-06-06 |
1073579728 | Susan A Sherman | Internal Medicine | 750 Potomac St, L5, Aurora, CO 80011 | 2006-04-21 |
1982666756 | Robert Winston Rees-jones | Internal Medicine | 1550 S Potomac St Ste 320, Aurora, CO 80012-5448 | 2006-04-05 |
1255762118 | Viral N Shah | Internal Medicine | 1775 Aurora Ct, Ms A140, Aurora, CO 80045-2536 | 2013-12-03 |
1700185097 | Sean J Iwamoto | Internal Medicine | 12801 E 17th Ave, Mail Stop: 8106, Aurora, CO 80045 | 2011-03-25 |
1447575295 | Thomas Jensen | Internal Medicine | 12801 E 17th Ave, Mail Stop: 8106, Aurora, CO 80045-2530 | 2010-04-05 |
1326277294 | David Saxon | Internal Medicine | 1635 Aurora Ct., Anschutz Outpatient Pavilion, 6th Floor, Aurora, CO 80045 | 2009-07-13 |
1922268812 | Betsy J Bennet | Internal Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-06-13 |
1154589414 | Lauren M Fishbein | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-05-23 |
1003019548 | Rush-copley Medical Group | Internal Medicine | 2040 Ogden Ave, Ste 217, Aurora, IL 60504-7206 | 2007-06-11 |
Find all providers in AURORA |
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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.