MICHAEL PATRICK COPPOLA (NPI# 1790724052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790724052 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK COPPOLA |
| Credential | M.D. |
| Practice Address |
801 Cromwell Park Dr Suite 108 Glen Burnie MD 21061-2539 |
| Practice Telephone | 4105900443 |
| Practice Fax Number | 4105904403 |
| Mailing Telephone | 4105900443 |
| Mailing Fax Number | 4105904403 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
D74925 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
D74925 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J04196 | 01 |
| MA | TUFTS HEALTH PLAN | 054100 | 01 |
| MA | 6193374 | 05 | |
| MA | HEALTH NEW ENGLAND | 11550 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205050275 | Michael A Coppola | Dentist | 3720 South Park Avenue, Blasdell, NY 14219 | 2007-04-12 |
| 1639107774 | Michael A Coppola | Chiropractor | 332 N Bethlehem Pike, Ambler, PA 19002-3525 | 2006-06-29 |
| 1699962423 | Michael Anthony Coppola Jr. | Chiropractor | 655 Camino De Los Mares, Suite 121, San Clemente, CA 92673-2809 | 2007-09-25 |
| Street Address |
801 CROMWELL PARK DR SUITE 108 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003346404 | Kl Goring LLC | Internal Medicine | 995 Prince Frederick Blvd Ste 101, Prince Frederick, MD 20678-3199 | 2017-06-18 |
| 1144501461 | Guillermo J. Giangreco, M.d., LLC | Internal Medicine | 1741 Allerford Dr, Hanover, MD 21076-1798 | 2011-08-31 |
| 1447430376 | Creative Lifestyles Management Prog | Internal Medicine | 10 St. Patricks Drive, Suite 101, Waldorf, MD 20603-3500 | 2007-11-08 |
| 1972629210 | Karoline Moon | Internal Medicine | 6565 N. Charles Street, Ppe 411, Baltimore, MD 21204 | 2007-03-21 |
| 1760569974 | Midatlantic Sleep Disorder Center LLC | Internal Medicine | 13627 Baltimore Ave, Laurel, MD 20707-5095 | 2006-11-01 |
| 1346347820 | Riad Dakheel, M.d., P.a. | Internal Medicine | 4000 Mitchellville Rd., Suite B216, Bowie, MD 20716-3145 | 2006-09-19 |
| 1770687493 | Thomas Francis Burke | Internal Medicine | 2303 Bel Air Rd, C/o Sleepmed, Fallston, MD 21047-2737 | 2006-09-12 |
| 1700824125 | Mohammad Miran | Internal Medicine | 1110 Opal Ct Ste 4&5, Hagerstown, MD 21740-5942 | 2006-06-04 |
| 1871080721 | Johns Hopkins University | Internal Medicine | 1800 Orleans St, Baltimore, MD 21287-0010 | 2018-04-17 |
| 1194174367 | Sleep Clinicalservices LLC | Internal Medicine | 6701 Democracy Blvd, Ste 300, Bethesda, MD 20817-1572 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on MICHAEL PATRICK COPPOLA.
| 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.