DR. MICHAEL GUST COPPERS (NPI# 1780612945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780612945 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GUST COPPERS |
| Credential | DPM |
| Practice Address |
15810 Detroit Ave Lakewood OH 44107-3711 |
| Practice Telephone | 2165291800 |
| Practice Fax Number | 2165293201 |
| Mailing Telephone | 4405291800 |
| Mailing Fax Number | 2165293201 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36001751 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0368909 | 05 |
| Street Address |
15810 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
| 1780099739 | Ashley Mandela | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2014-06-29 |
| 1154640217 | Dr Jerome J Lamendola LLC | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2010-05-27 |
| 1073541231 | Thomas E Emmert | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2006-06-28 |
| 1598701294 | Paul T Cachat | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107 | 2006-06-21 |
| 1801885397 | Tom Adolph Corrigan | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646979 | New West Physicians, P.C. | Podiatrist | 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 | 2020-07-20 |
| 1326571308 | Randi Jean Keefe | Podiatrist | 1312 Donald Ave, Lakewood, OH 44107-2851 | 2017-04-06 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| 1790931087 | Paul H Eisenberg, Dpm Inc | Podiatrist | 14900 Detroit Ave, Lakewood, OH 44107-3923 | 2008-08-18 |
| 1225255086 | Kurt Gustavson | Podiatrist | 6216 Whisper Ln Sw, Lakewood, WA 98499-1139 | 2007-04-20 |
| 1689719619 | Rosa Montemayor Dpm PC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2007-02-20 |
| 1235279993 | Michael Joseph Beauclair | Podiatrist | 1415 Blossom Park Ave, Lakewood, OH 44107-4401 | 2007-02-08 |
| 1568576528 | James F Eggold | Podiatrist | 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712-2761 | 2006-08-18 |
| 1154385284 | Paul Thomas Voegeli Jr. | Podiatrist | 165 South Union Boulevard, Suite 322, Lakewood, CO 80228-2211 | 2006-04-14 |
| 1619954302 | Ronald J Lancz | Podiatrist | 105 River Avenue, Building B Suite #303, Lakewood, NJ 08701 | 2005-12-23 |
| Find all providers in LAKEWOOD | ||||
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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.