COPPERFIELD MEDICAL CENTER, PLLC (NPI# 1063781821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063781821 |
| Entity Type | Organization |
| Organization Name | COPPERFIELD MEDICAL CENTER, PLLC |
| Practice Address |
611 Mocksville Ave Salisbury NC 28144-2705 |
| Practice Telephone | 7046337220 |
| Practice Fax Number | 7046470515 |
| Mailing Telephone | 7046337220 |
| Mailing Fax Number | 7046470515 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | DR. GAUTAM PATEL (PRESIDENT) |
| Authorized Official Telephone | 7046337220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2010-01202 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
611 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719528 | Augustine Uchechukwu Obi | Internal Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2005-06-13 |
| 1801327358 | Christopher Buman Goodman | Family Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2017-03-27 |
| 1013390574 | Raegan Jennifer Swaringen | Nurse Practitioner | 611 Mocksville Ave, Salisbury, NC 28144 | 2015-07-02 |
| 1275921157 | Rowan Diagnostic Clinic Family Medicine | Family Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2014-12-31 |
| 1548509250 | Bonnie K Sammons | Registered Nurse | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2013-02-01 |
| 1720322860 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 611 Mocksville Ave, Ste 201, Salisbury, NC 28144-2705 | 2012-11-15 |
| 1235481748 | Benjamin J Frazier | Nurse Practitioner | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2012-10-08 |
| 1467701797 | Karen Deanna Garmon | Nurse Practitioner | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2012-08-31 |
| 1023319886 | Nicole J Ferrell | Nurse Practitioner | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2010-11-10 |
| 1528372406 | Rowan Community Services LLC | Clinic/Center | 611 Mocksville Ave, Ste 300, Salisbury, NC 28144-2705 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375378 | Coastal Wellness Recovery | Family Medicine | 820 E Main St Unit 3, Salisbury, MD 21804-5025 | 2020-10-30 |
| 1053918847 | Katherine Susan Dennis | Family Medicine | 1322 Belmont Ave Ste 201, Salisbury, MD 21804-4593 | 2020-10-05 |
| 1841839453 | Cabarrus Rowan Community Health Center, Inc | Family Medicine | 226 N Long St, Salisbury, NC 28144-5049 | 2019-12-30 |
| 1952812794 | Atlantic Recovery, LLC | Family Medicine | 547 Riverside Dr Unit S, Salisbury, MD 21801-5369 | 2017-10-19 |
| 1477063386 | Corelife of Delmarva LLC | Family Medicine | 200 E Vine St Ste B, Salisbury, MD 21804-5531 | 2017-10-05 |
| 1336481951 | Charlotte A. Watts | Family Medicine | 231 Middle Blvd, Salisbury, MD 21801-6213 | 2013-03-21 |
| 1538448808 | Shu-chai Willy Lin | Family Medicine | 1402 Home Pl, Salisbury, MD 21804-9302 | 2011-08-04 |
| 1932498227 | Medical Alliance Group, Inc | Family Medicine | 206 Churchill Dr, Salisbury, NC 28144-8307 | 2011-04-07 |
| 1609180926 | Genesis Eldercare Physician Services LLC | Family Medicine | 6508 Deer Pointe Dr Ste A, Salisbury, MD 21804 | 2010-07-28 |
| 1659514271 | Hilda Imelio Houlihan | Family Medicine | 1318 Toadvine Rd, Salisbury, MD 21804-9245 | 2009-04-13 |
| Find all providers in SALISBURY | ||||
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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.