SHAWNA KOPRUCKI (NPI# 1093969735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093969735 |
| Entity Type | Individual |
| Full Name | SHAWNA KOPRUCKI |
| Other Name | SHAWNA BOUWERS |
| Credential | MD |
| Practice Address |
4694 Belmont Ave Youngstown OH 44505-1012 |
| Practice Telephone | 3304807655 |
| Practice Fax Number | 3307593851 |
| Mailing Telephone | 3304807655 |
| Mailing Fax Number | 3307593851 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2016-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.097076 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD441533 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE PTAN | H245561 | 01 |
| OH | 0056982 | 05 |
| Street Address |
4694 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44505-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990845 | Lori L Leipheimer | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505 | 2005-11-25 |
| 1982160420 | Kelly Marie Adamczyk | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2019-02-20 |
| 1992246862 | Annamarie Catherine Calo | Family Medicine | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2017-03-13 |
| 1043759392 | Danielle Nadiene Kwasnicka | Internal Medicine | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2017-02-20 |
| 1013464080 | Kristie Elizabeth Miller | Nurse Practitioner | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2016-09-07 |
| 1699916528 | Crispin Olukemi Barlatt | Family Medicine | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2009-03-24 |
| 1063442325 | Harriet F Lemberger-schor | Family Medicine | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2006-07-03 |
| 1356317622 | Tejdeep Singh | Internal Medicine | 4694 Belmont Ave, Youngstown, OH 44505-1012 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558924365 | Kristina Terlecki | Massage Therapist | 32 Goldie Rd., Youngstown, OH 44505 | 2019-04-17 |
| 1669937108 | Melissa Ann Brian | Registered Nurse | 615 Churchill - Hubbard Rd., Youngstown, OH 44505 | 2019-02-08 |
| 1902376742 | Shamara Golden | Specialist/Technologist | 3415 5th Ave, Youngstown, OH 44505 | 2018-12-04 |
| 1366912933 | Valor Recovery Center | Substance Abuse Rehabilitation Facility | 45 North Canfield Niles Road, Youngstown, OH 44505 | 2018-11-27 |
| 1104333798 | Sherrell Lynn Moorer | Case Manager/Care Coordinator | 3164 Eastview Drive, Youngstown, OH 44505 | 2018-01-04 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1871721530 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 200 Goldie Road, Youngstown, OH 44505 | 2009-07-01 |
| 1538254149 | Robert F. Accordino | Physical Therapist | 4531 Belmont Ave., Suite 5, Youngstown, OH 44505 | 2006-10-03 |
| 1659465862 | Union Eyes Optical, Inc | Technician/Technologist | 229 Churchill-hubbard Rd, Youngstown, OH 44505 | 2006-10-03 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| Find all providers in zip 44505 | ||||
| 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 |
|---|---|---|---|---|
| 1083233373 | Madiha Amjad Ali | Family Medicine | 1044 Belmont Ave, St. Elizabeth Youngstown Hospital, De, Youngstown, OH 44504-1006 | 2020-04-16 |
| 1730664558 | Bruce Willner Do LLC | Family Medicine | 3622 Belmont Ave Ste 18, Youngstown, OH 44505-1444 | 2018-09-27 |
| 1265874267 | Gerald Wasko Jr. | Family Medicine | 330 Wick Ave, Youngstown, OH 44503-1002 | 2013-07-19 |
| 1174867485 | Clark Conner White II | Family Medicine | 4482 Little Johns Pl, Youngstown, OH 44511-3630 | 2012-11-27 |
| 1588925457 | Triad Health Services, LLC | Family Medicine | 7629 Market St, Suite 200, Youngstown, OH 44512-6028 | 2012-06-06 |
| 1134411069 | Adam D Rhodes | Family Medicine | 3551 Belmont Ave Ste 19b, Youngstown, OH 44505-1439 | 2011-05-11 |
| 1356593065 | House Call Md LLC | Family Medicine | 150 Overhill Rd, Youngstown, OH 44512-1455 | 2008-10-14 |
| 1417115841 | Michelle Kapon | Family Medicine | 20 Fairlawn Ave, Youngstown, OH 44505-2143 | 2008-06-02 |
| 1063682052 | Nicholas P Depizzo Do Inc | Family Medicine | 4991 Belmont Ave, Youngstown, OH 44505-1017 | 2008-03-05 |
| 1821284159 | Dmhd Family Practice, Inc. | Family Medicine | 1320 Belmont Ave Ste 2, Youngstown, OH 44504-1130 | 2007-09-20 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44505 |
Please comment or provide details below to improve the information on SHAWNA KOPRUCKI.
| 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.