Matthew D Copple (NPI# 1033315742, PAC ID# 5294990776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1033315742 |
| PAC ID by PECOS | 5294990776 |
| Professional Enrollment ID | I20120709000028 |
| Full Name | Matthew D Copple |
| Organization Legal Name | ORTHOPAEDIC AND SPORTS CLINIC |
| Address |
1014 Saint Clair Blvd Suite 1020 Gonzales LA 70737-5027 |
| Phone Number | 2257432000 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2365616943 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1014 Saint Clair Blvd, Suite 1020, Gonzales, LA 70737-5027 | 2257432000 | ORTHOPAEDIC AND SPORTS CLINIC |
| Organization Legal Name | ORTHOPAEDIC AND SPORTS CLINIC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kody E Singleton | Physician Assistant | Orthopaedic and Sports Clinic | 1014 Saint Clair Blvd, Suite 1020, Gonzales, LA 70737-5027 |
| Scott G. Petrie | Orthopedic Surgery | Orthopaedic and Sports Clinic | 1014 Saint Clair Blvd, Suite 1020, Gonzales, LA 70737-5027 |
| Bridget L Pancoast | Physician Assistant | Orthopaedic and Sports Clinic | 1014 Saint Clair Blvd, Suite 1020, Gonzales, LA 70737-5027 |
| Street Address |
1014 SAINT CLAIR BLVD SUITE 1020 |
| City | GONZALES |
| State | LA |
| Zip | 70737-5027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Goodier | Otolaryngology | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 2010, Gonzales, LA 70737-5023 |
| Julie G Owens | Qualified Audiologist | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Gonzales, LA 70737-5023 |
| Gina M Ragusa | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 3030, Gonzales, LA 70737-5023 |
| Dawn B Sharp | Otolaryngology | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 2010, Gonzales, LA 70737-5023 |
| Rahil Shah | Gastroenterology | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 3030, Gonzales, LA 70737-5023 |
| Jesse D Lambert | Psychologist, Clinical | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 1000, Gonzales, LA 70737-5027 |
| William Britton Murrill | Internal Medicine | Renal Associates of Baton Rouge, LLC | 1014 Saint Clair Blvd, Suite 3060, Gonzales, LA 70737-5027 |
| Andrew Matthew Robichaux | Otolaryngology | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 2010, Gonzales, LA 70737-5023 |
| Tiffany F Schexnayder | Qualified Audiologist | Our Lady of The Lake Physician Group LLC | 1014 Saint Clair Blvd, Suite 2010, Gonzales, LA 70737-5023 |
| Kody E Singleton | Physician Assistant | Orthopaedic and Sports Clinic | 1014 Saint Clair Blvd, Suite 1020, Gonzales, LA 70737-5027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey R Entremont | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Sharon D Lobell | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Paul C Aguillard Jr. | Pediatric Medicine | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Annie K Lanclos | Nurse Practitioner | Lake Urgent Care Ascension LLC | 1702 N Burnside Ave, Lake Urgent Care Gonzales, Gonzales, LA 70737-2141 |
| Raymond Dyer | Physical Therapy | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Veronica D Walker | Qualified Speech Language Pathologist | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Donna P Aguillard | Occupational Therapy | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Jeremy C Catoire | Physical Therapy | 12550 Airline Hwy, Suite 102, Gonzales, LA 70737-2258 | |
| Brian S Christopherson | Optometry | 308 N Airline, Brian S Christopherson Od, Gonzales, LA 70737-3009 | |
| Phillip L Smith | Chiropractic | 208 E Cornerview St, Smith Chiropractic Clinic, Gonzales, LA 70737-3150 | |
| Find all physicians in zip 70737 | |||
| City | GONZALES |
| Zip Code | 70737 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GONZALES + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.