THOMAS E KUPPER (NPI# 1699771766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699771766 |
| Entity Type | Individual |
| Full Name | THOMAS E KUPPER |
| Credential | MD |
| Practice Address |
3006 N County Road 25a Suite 104 Troy OH 45373-1373 |
| Practice Telephone | 9373353518 |
| Practice Fax Number | 9373326857 |
| Mailing Telephone | 9373353518 |
| Mailing Fax Number | 9373326857 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35052300K | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35052300K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0600102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548227945 | Thomas Seth Kupper | Dermatology | 77 Avenue Louis Pasteur Him 671, Brigham and Womens Hospital Department of Dermatology, Boston, MA 02115 | 2006-04-28 |
| Street Address |
3006 N COUNTY ROAD 25A SUITE 104 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607172 | Cass M Cullis | Internal Medicine | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2005-05-23 |
| 1407465636 | Megan Jeanne Cotner | Nurse Practitioner | 3006 N County Road 25a, Troy, OH 45373-1373 | 2020-07-23 |
| 1699247072 | Josefina R. Ferree | Nurse Practitioner | 3006 N County Road 25a, Troy, OH 45373-1373 | 2018-12-22 |
| 1942503628 | Deann L Osterman | Physician Assistant | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2010-12-17 |
| 1457681512 | Affiliated Internists LLC | Internal Medicine | 3006 N County Road 25a, Ste 101, Troy, OH 45373-1373 | 2010-01-12 |
| 1578748612 | Jill Ann Cyphers | Nurse Practitioner | 3006 N County Road 25a, Suite 101, Troy, OH 45373-1373 | 2008-01-08 |
| 1396837985 | Aaron J Kaibas | Internal Medicine | 3006 N County Road 25a, Suite 104, Troy, OH 45373-1373 | 2006-09-29 |
| 1477585495 | Cardiology Care Inc | Clinic/Center | 3006 N County Road 25a, Ste 104, Troy, OH 45373-1373 | 2006-07-07 |
| 1609828367 | Aruna K Prattipati | Internal Medicine | 3006 N County Road 25a, 101, Troy, OH 45373-1373 | 2006-05-17 |
| 1972583458 | Susan L. Hoying | Nurse Practitioner | 3006 N County Road 25a, Suite 104, Troy, OH 45373-1373 | 2006-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185407 | Cmi Care of Mi, LLC | Internal Medicine | 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 | 2019-03-28 |
| 1295296531 | Cmi Care of Mi II, LLC | Internal Medicine | 755 W Big Beaver Rd Ste 2020, Troy, MI 48084-4925 | 2019-03-28 |
| 1801091491 | David H Forst Md PC | Internal Medicine | 44199 Dequindre Rd, Suite #116, Troy, MI 48085-1128 | 2007-06-15 |
| 1457571465 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 2 New Hampshire Ave, Suite 200, Troy, NY 12180-1762 | 2007-05-01 |
| 1629172317 | Ronaldo San Juan | Internal Medicine | 500 Kirts Blvd, Troy, MI 48084-4134 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799347 | Warren Endovascular Associates LLC | Internal Medicine | 1950 Niles Cortland Rd Ne Ste 12, Warren, OH 44484-1077 | 2020-08-07 |
| 1821570128 | Rishi Puri | Internal Medicine | 9500 Euclid Ave # J2-208, Cleveland, OH 44195-0001 | 2018-09-04 |
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1316445695 | Cardiac Cin of Cincinnati LLC | Internal Medicine | 9435 Waterstone Blvd Ste 140-302, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1720462591 | Midwest Access Services LLC | Internal Medicine | 7335 Yankee Rd Ste 101, Liberty Township, OH 45044-0008 | 2015-07-12 |
| 1306878863 | Medcentral Professional Association Inc. | Internal Medicine | 308 Glessner Ave, Mansfield, OH 44903-2225 | 2006-07-07 |
| 1629077961 | Gregory J Wood | Internal Medicine | 7200 Mentor Ave, Mentor, OH 44060-7522 | 2005-07-19 |
| 1508865213 | Joseph Michael Surmitis | Internal Medicine | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2005-07-15 |
| 1851396428 | Puvi N Seshiah | Internal Medicine | 3219 Clifton Ave, Suite 400, Cincinnati, OH 45220-3027 | 2005-06-20 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
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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.