DR. JOAN KOPRIVNIKAR (NPI# 1205004421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205004421 |
| Entity Type | Individual |
| Full Name | DR. JOAN KOPRIVNIKAR |
| Credential | M.D. |
| Practice Address |
1410 W 13th St Pueblo CO 81003-1961 |
| Practice Telephone | 7195835540 |
| Practice Fax Number | 7195835525 |
| Mailing Telephone | 7195835540 |
| Mailing Fax Number | 7195835525 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
41316 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
1410 W 13TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669530192 | Colorado Department of Corrections | Clinic/Center | 1410 W 13th St, Pueblo, CO 81003-1961 | 2006-12-05 |
| 1669783296 | Joseph John Wermers | General Practice | 1410 W 13th St, Pueblo, CO 81003-1961 | 2010-06-29 |
| 1033430442 | Colorado Department of Corrections | Exclusive Provider Organization | 1410 W 13th St, Pueblo, CO 81003-1961 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619032182 | John Tucker Hardy | Psychiatry & Neurology | 1115 N Grand Ave, Pueblo, CO 81003-2867 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597586 | Mary Kathleen Matthews | Psychiatry & Neurology | 2030 Clermont St, Denver, CO 80207-3738 | 2020-10-30 |
| 1902236417 | Susan Bograd | Psychiatry & Neurology | 3300 E. 1st Avenue, Suite 590, Denver, CO 80206-5818 | 2013-11-19 |
| 1144563255 | Seymour Zane Sundell | Psychiatry & Neurology | 867 County Rd 85, Tabernash, CO 80478-0460 | 2013-03-27 |
| 1063754422 | Jigar Chotalia | Psychiatry & Neurology | 13001 E 17th Pl Bldg 500, Aurora, CO 80045-2570 | 2013-03-25 |
| 1467744128 | Patricia Westmoreland | Psychiatry & Neurology | 1300 E 17th Place, University of Colorado Denver School of Medicine, Aurora, CO 80045 | 2011-05-12 |
| 1518115302 | Andrea Jacobson | Psychiatry & Neurology | 255 Canyon Blvd Ste 300, Boulder, CO 80302-4954 | 2008-09-04 |
| 1295940211 | Gordon Leigh Neligh IIi | Psychiatry & Neurology | 1017 S Gaylord St, Denver, CO 80209-4683 | 2007-05-12 |
| 1366517625 | Susan Beausoleil Bograd | Psychiatry & Neurology | 3300 East First Avenue, Suite 590, Denver, CO 80206-5818 | 2006-11-22 |
| 1700971223 | James Lyle Knoll IIi | Psychiatry & Neurology | 2295 Backcountry Dr., Pagosa Springs, CO 81147 | 2006-10-03 |
| 1134568652 | Jill Spice | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2013-06-18 |
| Find all providers with the same taxonomy | ||||
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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.