BERNARD L. COPPOLO JR. (NPI# 1497710727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497710727 |
| Entity Type | Individual |
| Full Name | BERNARD L. COPPOLO JR. |
| Credential | M.D. |
| Practice Address |
15 S 8th St Suite 201 Indiana PA 15701-2776 |
| Practice Telephone | 7243498311 |
| Practice Fax Number | 7243498331 |
| Mailing Telephone | 7243498311 |
| Mailing Fax Number | 7243498331 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD019405E | PA | Other Service Providers |
| Street Address |
15 S 8TH ST SUITE 201 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-2776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647053 | Ann R Jesick | Family Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2005-08-29 |
| 1427507045 | Nichole Rensko | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2016-09-23 |
| 1659626786 | Ashley Rae Ingham | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2012-07-15 |
| 1063703742 | Pauline D Balkaransingh | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15717 | 2011-04-28 |
| 1659682110 | Nervana T. Mahmoud | Internal Medicine | 15 S 8th St, Suite 201, Indiana, PA 15701-2776 | 2010-06-29 |
| 1588994370 | Melissa Lynn Duncan | Physician Assistant | 15 S 8th St, Indiana, PA 15701-2776 | 2009-12-30 |
| 1083816979 | Jennifer May Shobert | Physician Assistant | 15 S 8th St, Suite 200, Indiana, PA 15701-2776 | 2007-06-03 |
| 1467589796 | Indiana Pediatric Associates, PC | Pediatrics | 15 S 8th St, Ste 200, Indiana, PA 15701-2776 | 2007-02-27 |
| 1477563468 | Diane L Metzger | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-09 |
| 1821004342 | Edward P Mcdowell | Internal Medicine | 15 S 8th St, Indiana, PA 15701-2776 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528014909 | Mark E. Boykiw, M.d. | Specialist | 841 Hospital Rd, Suite 3100, Indiana, PA 15701-3620 | 2006-05-26 |
| 1760447080 | Stella M. Boron | Specialist | 15 S 8th St, Suite 201, Indiana, PA 15701-2776 | 2006-04-19 |
| 1699730465 | Rabia Bajwa | Specialist | 850 Hospital Rd, Suite 2400, Indiana, PA 15701-3662 | 2006-04-17 |
| 1871553222 | Imran Mushtaq Bajwa | Specialist | 850 Hospital Rd, Suite 2400, Indiana, PA 15701-3662 | 2006-03-27 |
| 1770551434 | Arie Kandel | Specialist | 835 Hospital Road, Indiana, PA 15701-3629 | 2006-03-09 |
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|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
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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.