SCOTT H COPPEL (NPI# 1801326681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801326681 |
| Entity Type | Individual |
| Full Name | SCOTT H COPPEL |
| Credential | MD |
| Practice Address |
5401 S Wentworth Ave Chicago IL 60609-6300 |
| Mailing Address |
1407 S Michigan Ave Apt 1411 Chicago IL 60605-2836 |
| Practice Telephone | 7732886900 |
| Mailing Telephone | 6147462029 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036.153996 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 11019407A | IN | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 036.153996 | 01 |
| Street Address |
5401 S WENTWORTH AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511925 | Barbara Ann Zimmerman Minnich | Advanced Practice Midwife | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2006-01-04 |
| 1295291581 | Ellen Christine Seymour | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2019-02-12 |
| 1063978476 | Andrew Steven Hallum | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2019-02-11 |
| 1932674488 | Visitacion Rosel Gozo | Registered Nurse | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2018-10-11 |
| 1417450867 | Josephine Bostic | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2018-03-12 |
| 1578018792 | David Kerbow | Nurse Practitioner | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2016-08-17 |
| 1497151542 | Charita Smith | Optometrist | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2014-11-17 |
| 1538441456 | Victoria Fu Ji Huang | Pharmacist | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2011-09-16 |
| 1871890343 | William Jacob Williams | Dentist | 5401 S Wentworth Ave, Suite 200, Chicago, IL 60609-6300 | 2011-02-18 |
| 1023299880 | Amy Ramirez | Pediatrics | 5401 S Wentworth Ave, Chicago, IL 60609-6300 | 2007-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| Find all providers in CHICAGO | ||||
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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.