KERI COPPONEX (NPI# 1346564366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346564366 |
Entity Type | Individual |
Full Name | KERI COPPONEX |
Credential | M.D. |
Practice Address |
4212 W Congress St Lafayette LA 70506-6765 |
Mailing Address |
Po Box 919229 Dallas TX 75391-9229 |
Practice Telephone | 3377034481 |
Mailing Telephone | 3372898944 |
Mailing Fax Number | 3375710030 |
Enumeration Date | 2010-03-19 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME125101 | FL | Allopathic & Osteopathic Physicians |
Street Address |
4212 W CONGRESS ST |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-6765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568469377 | Esmond Anthony Barker | Internal Medicine | 4212 W Congress St, Suite 1800 A, Lafayette, LA 70506-6765 | 2005-07-07 |
1891144473 | Lafayette Health Ventures, Inc | Surgery | 4212 W Congress St, Lafayette, LA 70506-6765 | 2016-06-06 |
1285933168 | Barkers Cardiovascular Center LLC | Internal Medicine | 4212 W Congress St, Ste 1800 A, Lafayette, LA 70506-6765 | 2011-03-18 |
1114255965 | Myers Dermatology LLC | Dermatology | 4212 W Congress St, Suite 1430, Lafayette, LA 70506-6765 | 2009-12-04 |
1518191311 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Lafayette, LA 70506-6765 | 2009-05-07 |
1356589444 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Suite 3600, Lafayette, LA 70506-6765 | 2009-01-27 |
1104063403 | Neurosurgical Solutions of Lafayette LLC | Neurological Surgery | 4212 W Congress St, Ste 3500, Lafayette, LA 70506-6765 | 2009-01-08 |
1689819898 | Southwest Medical Center Surgical Group, LLC | Orthopaedic Surgery | 4212 W Congress St, Suite 3200, Lafayette, LA 70506-6765 | 2008-12-03 |
1245482868 | Terri H Frederick | Massage Therapist | 4212 W Congress St, Ste. 3200, Lafayette, LA 70506-6765 | 2008-10-14 |
1447409586 | Relief Plus, LLC | Durable Medical Equipment & Medical Supplies | 4212 W Congress St, Suite 3200, Lafayette, LA 70506-6765 | 2008-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
Find all providers in zip 70506 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710282439 | Unity Healthcare, LLC | Anesthesiology | 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 | 2011-01-12 |
1720160229 | Pain Partners Md LLC | Anesthesiology | 380 Empire Road, Suite 200, Lafayette, CO 80026 | 2006-10-20 |
1629184635 | Doreen T. Abadco | Anesthesiology | 114 Hospital Dr, Lafayette, LA 70503-2825 | 2006-08-22 |
1629001680 | Shazia Meraj Siddiqui | Anesthesiology | 770 Park East Blvd, Suite B, Lafayette, IN 47905 | 2006-07-09 |
1508265638 | Michael S Haydel Md Apmc | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2014-08-14 |
1740691831 | James Grant Rabalais | Anesthesiology | 1103 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5784 | 2014-05-12 |
1376716761 | Conservative Medical Management A | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2008-04-08 |
1912058215 | Pioneer Anesthesia and Pain Associates, L.L.C. | Anesthesiology | 114 Hospital Dr, Lafayette, LA 70503-2825 | 2007-01-15 |
1770656332 | David C Miller | Anesthesiology | 3738 Landmark Dr Ste A, Lafayette, IN 47905 | 2006-11-15 |
1669589164 | Joseph T Gillespie | Anesthesiology | 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 | 2006-08-23 |
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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.