DR. JOHN HARRISON KOPCHICK (NPI# 1467497495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467497495 |
| Entity Type | Individual |
| Full Name | DR. JOHN HARRISON KOPCHICK |
| Credential | M.D. |
| Practice Address |
2240 Teal Ct Se Grand Rapids MI 49546-7939 |
| Practice Telephone | 6166351220 |
| Mailing Telephone | 6166351220 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 58797 | MN | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 4301043886 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 3404100631 | 01 |
| MI | 104135289 | 05 | |
| MI | PRIORITY HEALTH | 900002217 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6849 Woodbrook Dr. Se, Grand Rapids, MI 49546 | 6166351220 |
| Street Address |
2240 TEAL CT SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| 1003013392 | Erik M Ratchford | Urology | 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 | 2007-06-29 |
| 1255537056 | Naveed Naeem | Urology | 161 Ottawa Ave Nw Ste 300, Grand Rapids, MI 49503-2701 | 2007-06-27 |
| 1467561480 | Urology Surgeons PC | Urology | 1000 E Paris Ave Se Ste 230, Grand Rapids, MI 49546-3680 | 2006-08-30 |
| 1093755092 | Richard Kahnoski | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2006-06-07 |
| 1376501502 | Thomas J Maatman | Urology | 4047 E. Hills Court Se, Grand Rapids, MI 49546-6249 | 2006-05-04 |
| 1972596823 | Russell K Lawson | Urology | 1601 Golf Course Road, Grand Rapids, MN 55744 | 2005-08-25 |
| 1366853293 | Conrad Maxwell Tobert | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2014-05-14 |
| 1528403235 | George Michael Ghareeb | Urology | 4069 Lake Dr Se Ste 313, Grand Rapids, MI 49546-8816 | 2013-05-08 |
| 1740419001 | John E Humphrey | Urology | 4069 Lake Dr Se, Ste 313, Grand Rapids, MI 49546-8816 | 2009-07-08 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. JOHN HARRISON KOPCHICK.
| 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.