DR. SAMUEL J KOPMAN (NPI# 1093050403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093050403 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL J KOPMAN |
| Credential | DVM |
| Practice Address |
14516 Se Mill Plain Blvd Vancouver WA 98684-7418 |
| Practice Telephone | 3608921440 |
| Practice Fax Number | 3608923822 |
| Mailing Telephone | 3608921440 |
| Mailing Fax Number | 3608923822 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | VT00007511 | WA | Other Service Providers |
| Street Address |
14516 SE MILL PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565557 | Jacqueline Myers | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2012-12-11 |
| 1023442175 | Sandra Memenis | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2013-08-26 |
| 1801220959 | Amy A Pittman | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2013-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144565557 | Jacqueline Myers | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2012-12-11 |
| 1982989406 | Travis Michael Lanaux | Veterinarian | 6818 Ne Fourth Plain Blvd Ste C, Vancouver, WA 98661-7357 | 2011-10-16 |
| 1558645523 | Gia Klauss | Veterinarian | 6818 Ne Fourth Plain Blvd, Suite C, Vancouver, WA 98661-7357 | 2011-10-07 |
| 1821384603 | Alayson Lynette Phelps | Veterinarian | 416 Ne 112th Ave, Vancouver, WA 98684-5018 | 2011-06-21 |
| 1023442175 | Sandra Memenis | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2013-08-26 |
| 1801220959 | Amy A Pittman | Veterinarian | 14516 Se Mill Plain Blvd, Vancouver, WA 98684-7418 | 2013-08-26 |
| 1528409760 | Kathryn Justine Hooper | Veterinarian | 416 Ne 112th Ave, Vancouver, WA 98684-5018 | 2013-07-16 |
| 1205176906 | Courtney Mallett | Veterinarian | 6818 Ne Fourth Plain Blvd, Suite C, Vancouver, WA 98661-7357 | 2013-02-18 |
| 1306180682 | Sarah Goldie Dubinett Smith | Veterinarian | 6818 Ne Fourth Plain Blvd Ste C, Vancouver, WA 98661-7357 | 2012-11-26 |
| 1497099774 | Kevin Paskowski | Veterinarian | 6818 Ne Fourth Plain Blvd Ste C, Vancouver, WA 98661-7357 | 2012-11-26 |
| Find all providers in VANCOUVER | ||||
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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.