Andrew J Kopperud (NPI# 1629294533, PAC ID# 0345392957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629294533 |
| PAC ID by PECOS | 0345392957 |
| Professional Enrollment ID | I20110210001068 |
| Full Name | Andrew J Kopperud |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Address |
920 Bell Ave Westbrook MN 56183-9669 |
| Phone Number | 5072746121 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6800707100 |
| Number of Group Practice Members | 252 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241302 | SANFORD WESTBROOK MEDICAL CENTER |
| 241303 | SANFORD TRACY |
| 241332 | WINDOM AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 920 Bell Ave, Westbrook, MN 56183-9669 | 5072746121 | SANFORD HEALTH NETWORK |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Physicians | 211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kahley E Meyer | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Terrence J Jatczak | Nurse Practitioner | Sanford Health Network | 300 S Byron Blvd, Chamberlain, SD 57325-9741 |
| Daniel W Christensen Jr. | Nurse Practitioner | Sanford Health Network | 400 N Hiawatha Dr, Canton, SD 57013-5800 |
| Amanda L Glanzer | Nurse Practitioner | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Amber Dione Van Voorst | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 118 N 7th Ave, Sheldon, IA 51201-1235 |
| Jason D Spjut | General Surgery | Sanford Health Network | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 |
| David Ray Jones | Emergency Medicine | Sanford Health Network | 1018 6th Ave, Worthington, MN 56187-2202 |
| Marsha P Viers | Physician Assistant | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| Tomasz P Lis | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Josephine Dunn Junius | Family Medicine | Sanford Health Network | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 |
| Street Address |
920 BELL AVE |
| City | WESTBROOK |
| State | MN |
| Zip | 56183-9669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marsha P Viers | Physician Assistant | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| Thomas C Koehnen | Family Medicine | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| Nancy A Fell | Physician Assistant | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| City | WESTBROOK |
| Zip Code | 56183 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WESTBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Andrew J Kopperud.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.