JACK ANDREW COPELAND (NPI# 1780657841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780657841 |
| Entity Type | Individual |
| Full Name | JACK ANDREW COPELAND |
| Credential | MD |
| Practice Address |
1010 Spruce St Espanola NM 87532-3456 |
| Mailing Address |
Po Box 387 Marfa TX 79843-0387 |
| Practice Telephone | 5059868468 |
| Mailing Telephone | 4327294608 |
| Mailing Fax Number | 4327294653 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
97-213 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063516714 | Jack Morton Copeland | Dentist | 210 S Grand, #408, Glendora, CA 91741 | 2006-09-12 |
| 1598830978 | Jack L Copeland | Specialist | 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | 2006-11-21 |
| 1730152786 | Jack Copeland | Surgery | 200 W. Arbor Dr., Mc 8892, San Diego, CA 92103 | 2006-02-09 |
| Street Address |
1010 SPRUCE ST |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552172 | Peter Holtz | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-07-15 |
| 1861004715 | Folsom Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-2746 | 2020-08-21 |
| 1417514712 | Kathy Lynn Wirz | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-05-22 |
| 1790259455 | Elizabeth Nunez | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-01-16 |
| 1477062370 | Vanessa Monique Lucero | Pharmacist | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-09-22 |
| 1972023810 | Amelia Brooks Kreienkamp | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-21 |
| 1568992220 | Gary Kanner | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-15 |
| 1033640263 | Kimberly Allen | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1336670405 | Julian R. Benavidez | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1912303900 | Leora Ellen Shein | Registered Nurse | 1010 Spruce St, Presbyterian Espanola Hospital, Espanola, NM 87532-2724 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922192319 | Bruce A Legler | Radiology | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| 1376637769 | David A Williams | Radiology | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658299 | City Mobile Ultrasound, LLC | Radiology | 524 Richmond Dr Se, Albuquerque, NM 87106-2328 | 2020-01-17 |
| 1013407964 | Erika Jane Starks | Radiology | Radiology Msc 10-5530 1 University of New Mexico, Albuquerque, NM 87131-5040 | 2018-05-16 |
| 1700331196 | Joseph B. Furlong, P.a. | Radiology | 190 Howard Place, Suite A, Las Cruces, NM 88011 | 2016-08-16 |
| 1588028393 | Prime Digital Radiology, PC | Radiology | 9 W Alary Ln, Corrales, NM 87048-8396 | 2016-04-07 |
| 1700229523 | Martha F Terrazas | Radiology | Msc 10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-11 |
| 1922341585 | Katherine Nicole Epstein | Radiology | Msc10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-02 |
| 1962745869 | Joshua Eric Rider | Radiology | Unmh, 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2013-03-29 |
| 1346506904 | Andrew Bruner | Radiology | Msc 10-5550 1, University of New Mexico, Albuquerque, NM 87131 | 2012-04-09 |
| 1942576145 | Douglas James Alden | Radiology | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 | 2012-04-02 |
| 1689947921 | Robert Johnson | Radiology | 804 Piedra Vista Rd Ne, Albuquerque, NM 87123-1954 | 2012-02-16 |
| Find all providers with the same taxonomy | ||||
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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.