CAROLYN KOPPEL


Address: 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397
Phone: 6072726880

CAROLYN KOPPEL (NPI# 1437249471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437249471
Entity Type Individual
Full Name CAROLYN KOPPEL
Credential N.P.
Practice Address 1301 Trumansburg Rd
Suite H
Ithaca
NY 14850-1397
Practice Telephone 6072726880
Practice Fax Number 6072721436
Mailing Telephone 6072726880
Mailing Fax Number 6072721436
Enumeration Date 2006-10-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F381159-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01972976 05

Office Location

Street Address 1301 TRUMANSBURG RD
SUITE H
City ITHACA
State NY
Zip Code 14850-1397

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424362 Christopher L Peck Physician Assistant 1301 Trumansburg Rd, Ste E, Ithaca, NY 14850-1397 2005-06-01
1992167498 Mohamad Eyad Khorki Pediatrics 1301 Trumansburg Rd, Ithaca, NY 14850-1397 2016-03-23
1760842314 Samara Touchton Nurse Practitioner 1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397 2016-02-24
1922493097 Sapan Shah Anesthesiology 1301 Trumansburg Rd, Ithaca, NY 14850-1397 2015-04-05
1417264623 Erin Lovejoy Physician Assistant 1301 Trumansburg Rd, Suite R, Ithaca, NY 14850-1397 2010-09-09
1528371291 Andrea Beth Sharkness Nurse Practitioner 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 2010-07-22
1992943153 Brian Bollo Surgery 1301 Trumansburg Rd, Suite E, Ithaca, NY 14850-1397 2009-01-27
1851571061 Franciscan Health Support, Inc Durable Medical Equipment & Medical Supplies 1301 Trumansburg Rd, Ithaca, NY 14850-1397 2007-11-06
1568591352 Scott Noren Dentist 1301 Trumansburg Rd, Suite # G, Ithaca, NY 14850-1397 2007-03-05
1962561951 Ithaca Medical Group, Pllc Internal Medicine 1301 Trumansburg Rd, Suite P, Ithaca, NY 14850-1397 2006-12-06
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1932723228 Binay Kumar Kshetree Student in an Organized Health Care Education/Training Program Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 2020-06-02
1225657349 Nima Hazrati Pour Fard Student in an Organized Health Care Education/Training Program Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 2020-04-09
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205320587 Anna Mary Clifford Nurse Practitioner 1301 Trumansburg Rd Ste H, Ithaca, NY 14850-1397 2018-06-19
1558328724 Hildegard Chan Epp Nurse Practitioner 115 Ferris Pl, Ithaca, NY 14850-4525 2006-04-29
1700431376 Caitlin C Griffin Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2019-08-09
1548527344 Nina E Pegram Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2012-04-18
1528371291 Andrea Beth Sharkness Nurse Practitioner 1301 Trumansburg Rd, Suite H, Ithaca, NY 14850-1397 2010-07-22
1669670386 Kim Marie Kirkwood Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2007-07-03
1427185834 Holly Mulford Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2007-02-27
1760464325 Patricia A Mattingly Nurse Practitioner 10 Graham Rd W, Ithaca, NY 14850-1055 2005-11-18

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1427664572 Leigh Ann Cohen Nurse Practitioner 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 2020-09-23
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1992311567 Jyneva W Pickel Nurse Practitioner 3959 Broadway Rm 722, New York, NY 10032-1559 2020-09-19
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Competitor

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City ITHACA
Zip Code 14850

Improve Information

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Dataset Information

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.

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