Elena C Coppola (NPI# 1760689665, PAC ID# 8325193238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1760689665 |
| PAC ID by PECOS | 8325193238 |
| Professional Enrollment ID | I20090828000239 |
| Full Name | Elena C Coppola |
| Organization Legal Name | NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY |
| Address |
918 N Ctr Ave Gaylord MI 49735-9375 |
| Phone Number | 2314873610 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 2668386368 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230105 | MCLAREN NORTHERN MICHIGAN |
| 230133 | OTSEGO MEMORIAL HOSPITAL |
| 230036 | MIDMICHIGAN MEDICAL CENTER - ALPENA |
| 231322 | CHARLEVOIX AREA HOSPITAL |
| 230058 | MUNSON HEALTHCARE GRAYLING HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 918 N Ctr Ave, Gaylord, MI 49735-9375 | 2314873610 | NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY |
| 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 | 2314873590 | NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY |
| 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 | 2314873390 | NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY |
| Organization Legal Name | NORTHERN MICHIGAN HEMATOLOGY AND ONCOLOGY |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Johanna Barbara Lund | Nurse Practitioner | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 |
| Karen E Den Besten | Infectious Disease | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 |
| Jon Anton Sangeorzan | Infectious Disease | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 |
| Cynthia Dryer | Nurse Practitioner | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 |
| Lisa Anne Galloway | Medical Oncology | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 |
| Rebecca M Woltman | Nurse Practitioner | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 |
| Diane Macdonald | Hematology/oncology | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 |
| Sara Marie Belopavlovich | Nurse Practitioner | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 |
| Juan G. Posada | Medical Oncology | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 185, Petoskey, MI 49770-2296 |
| Irene Connolly | Hematology/oncology | Northern Michigan Hematology and Oncology | 560 W Mitchell St, Suite 170, Petoskey, MI 49770-2276 |
| Street Address |
918 N CTR AVE |
| City | GAYLORD |
| State | MI |
| Zip | 49735-9375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ervin A Hire | Medical Oncology | Northern Michigan Hematology and Oncology | 918 N Ctr Ave, Gaylord, MI 49735-9375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Fredrik Hanson | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Kyle Robert Randall | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Louis S Habryl | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Robert L Halter | Orthopedic Surgery | Munson Healthcare Otsego Memorial Hospital | 2147 Professional Dr, Gaylord, MI 49735-0003 |
| Kristine E Bobish | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | |
| Kevin M Markham | General Surgery | Petoskey Surgeons, P.C. | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Lindsay K Bauman | Qualified Audiologist | Great Lakes Ear, Nose and Throat Specialists PC | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Kevin Lawrence Gietzen | Otolaryngology | Great Lakes Ear, Nose and Throat Specialists PC | 860 N Ctr Ave, Gaylord, MI 49735-1510 |
| Ted Alan Arkfeld | Chiropractic | 860 N Ctr Ave, Gaylord, MI 49735-1510 | |
| John P Jones | Psychologist, Clinical | 606 N Court Ave, Gaylord, MI 49735-1516 | |
| Find all physicians in zip 49735 | |||
| City | GAYLORD |
| Zip Code | 49735 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | GAYLORD + HEMATOLOGY/ONCOLOGY |
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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.