DR. RANDOLPH LEIGH COPELAND (NPI# 1326079799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326079799 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH LEIGH COPELAND |
| Credential | M.D. |
| Practice Address |
516 E. Nizhoni Blvd. Box 1337 Gallup NM 87301-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221256 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221256 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD.013119 | LA | Allopathic & Osteopathic Physicians |
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
025131 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000E5728 | 05 | |
| AZ | 580218 | 05 |
| Street Address |
516 E. NIZHONI BLVD. BOX 1337 |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347348 | Francisca V. Lytle | Specialist | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-06-23 |
| 1104271642 | Alicia Slim | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301 | 2016-05-03 |
| 1760868681 | Pamela Dennis | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301 | 2015-08-03 |
| 1629486808 | Sarah Strehlow | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2014-07-31 |
| 1902244288 | Cheryl Morris | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2013-06-10 |
| 1699111237 | Benjamin Daniel Johnson | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 | 2013-05-21 |
| 1144568494 | Jerita Lynn Harker | Registered Nurse | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2013-01-22 |
| 1598028201 | Eric D. Johansen | Optometrist | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2012-06-18 |
| 1467787911 | Jennie Wei | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87305-1337 | 2009-10-15 |
| 1942435474 | Mia Kristen Lozada | Internal Medicine | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2009-05-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424895 | Catherine Grace Hawthorne | Orthopaedic Surgery | 305 S Strong Dr, Gallup, NM 87301 | 2006-08-16 |
| 1679593420 | Kevin Dale Perdue | Orthopaedic Surgery | 1900 Redrock Dr, Gallup, NM 87301-5682 | 2006-07-21 |
| 1215961800 | Richard Dean Nichols | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-10 |
| 1811929607 | David Frank Poe | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-06 |
| 1801827530 | Joseph Peter Frechette | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-05 |
| 1144251877 | John M Gossard | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-05 |
| 1588691364 | Elisheva Flink | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-27 |
| 1356385371 | Shabbar Hussain | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 | 2006-06-16 |
| 1124068085 | William Lloyd Barnard Jr. | Orthopaedic Surgery | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-08 |
| 1669420428 | John H York | Orthopaedic Surgery | 516 E Nizhoni Blvd, Gallup, NM 87301 | 2006-05-04 |
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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.