JAY STUART COPELAND (NPI# 1215934922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215934922 |
| Entity Type | Individual |
| Full Name | JAY STUART COPELAND |
| Credential | MD |
| Practice Address |
9135 Piscataway Rd Ste 330 Clinton MD 20735-2549 |
| Practice Telephone | 3018563233 |
| Practice Fax Number | 3018568573 |
| Mailing Telephone | 3018563233 |
| Mailing Fax Number | 3018568573 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | D0008592 | MD | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD13081 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 4652389 | 01 | |
| BS/VA | 020662-7 | 01 | |
| DC | 0444600-3 | 05 | |
| BS/MD | 412242-03 | 01 | |
| BS/NCA | 99210001 | 01 | |
| AETNA | 82647/4091451 | 01 | |
| AFFORDABLE | 23678 | 01 | |
| MD-IPA | 26037 | 01 |
| Street Address |
9135 PISCATAWAY RD STE 330 |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306321443 | Carine Gouetso Ndeko | Nurse Practitioner | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2018-09-25 |
| 1588150262 | Henry Tama | Nurse Practitioner | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2018-07-06 |
| 1629595533 | Michon Lynette Powell | Nutritionist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-23 |
| 1598281818 | Muhammad Abdul-raheem | Psychologist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-17 |
| 1144779158 | Mary Kathryn Proctor | Registered Nurse | 9135 Piscataway Rd, Suite 420, Clinton, MD 20735-2549 | 2016-10-03 |
| 1568823268 | Hema Venkata Naga Rajesh Vemuri | Physical Therapist | 9135 Piscataway Rd, Ste 305, Clinton, MD 20735-2549 | 2016-03-09 |
| 1932569050 | Melissa Luttrell | Occupational Therapist | 9135 Piscataway Rd, 305, Clinton, MD 20735-2549 | 2016-03-02 |
| 1588051155 | Premier Orthopedics, P.a. | Orthopaedic Surgery | 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 | 2015-04-22 |
| 1710373576 | Ashley Watkins | Counselor | 9135 Piscataway Rd, Suite 245, Clinton, MD 20735-2549 | 2015-04-08 |
| 1427440882 | Arise Therapy and Life Coaching Center,llc | Counselor | 9135 Piscataway Rd, 410, Clinton, MD 20735-2549 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1295016525 | Associated Urologists of North Carolina Pa | Urology | 358 Northeast Blvd, Clinton, NC 28328-2424 | 2011-08-31 |
| 1598997371 | Carolina Urology Healthcare, Pllc | Urology | 1021 Beaman Street, Clinton, NC 28328-4001 | 2009-08-13 |
| 1750556213 | Piedmont Regional Urology | Urology | 300 Plantation Plaza, Suite F, Clinton, SC 29325 | 2008-04-25 |
| 1568508273 | Chiarmamonte Huisman Zorn Urology LLC | Urology | 7501 Surratts Rd Ste 308, Clinton, MD 20735-3362 | 2007-01-29 |
| 1598731242 | Joseph A. Myers | Urology | 1602 N Second St, Golden Valley Memorial Healthcare, Clinton, MO 64735 | 2006-02-23 |
| 1376537209 | Laurens Urological | Urology | 300 Plaza Cir, Clinton, SC 29325-7557 | 2005-09-07 |
| 1841291135 | Robert W Reagan Jr. | Urology | 417 Vance St, Suite B, Clinton, NC 28328-4001 | 2005-08-09 |
| 1063672871 | Vikrant Uberoi | Urology | 7501 Surratts Rd, Suite 308, Clinton, MD 20735-3362 | 2008-06-15 |
| 1164476453 | Margaret C Wolf | Urology | 915 13th Ave N, Clinton, IA 52732-5067 | 2006-05-20 |
| Find all providers in CLINTON | ||||
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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.