ANI L SARYAN KOPF (NPI# 1659698520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659698520 |
| Entity Type | Individual |
| Full Name | ANI L SARYAN KOPF |
| Credential | MD |
| Practice Address |
4328 Old Green Bay Rd Mount Pleasant WI 53403-9489 |
| Practice Telephone | 2626877606 |
| Practice Fax Number | 2626877615 |
| Mailing Telephone | 2626877606 |
| Mailing Fax Number | 2626877615 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56613-20 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
4328 OLD GREEN BAY RD |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53403-9489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952331837 | Darnella D. Gist | Family Medicine | 4328 Old Green Bay Rd, Mount Pleasant, WI 53403-9489 | 2006-07-04 |
| 1760720833 | Louise M Omdahl | Nurse Practitioner | 4328 Old Green Bay Rd, Mount Pleasant, WI 53403-9489 | 2013-01-24 |
| 1962504670 | Carlynn H Crevier | Internal Medicine | 4328 Old Green Bay Rd, Mount Pleasant, WI 53403-9489 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533789 | Smith Family Md, Inc | Family Medicine | 990 Lake Hunter Cir Ste 101a, Mount Pleasant, SC 29464-5426 | 2019-11-26 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1386168680 | Esposito Medical Associates Ltd | Family Medicine | 599 N Church St Ste 200, Mount Pleasant, PA 15666-1004 | 2017-07-28 |
| 1063803377 | Kristen Taylor | Family Medicine | 2480 Rosewood N, Mount Pleasant, MI 48858-5003 | 2015-02-09 |
| 1316349764 | Amg Crockett LLC | Family Medicine | 4955 Highway 43 N, Mount Pleasant, TN 38474-5010 | 2014-09-17 |
| 1669743357 | Carolina Family Care | Family Medicine | 200 Ports Authority Dr, Mount Pleasant, SC 29464-7998 | 2012-01-26 |
| 1538458401 | Jennifer Lo | Family Medicine | 8400 Washington Ave Ste 105, Mount Pleasant, WI 53406-3735 | 2011-03-31 |
| 1114184124 | Milad Ishak Shaker | Family Medicine | 308 Bessemer Rd, Suite 100, Mount Pleasant, PA 15666-9134 | 2008-05-19 |
| 1487820718 | Christy L. Cone | Family Medicine | 710 Johnnie Dodds Blvd Ste 315, Mount Pleasant, SC 29464-3045 | 2008-05-06 |
| 1952470965 | Justin James Woods | Family Medicine | 5401 Spring St, Mount Pleasant, WI 53406-2911 | 2006-11-06 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53403 |
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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.