Nathan Copple (NPI# 1043307853, PAC ID# 9436298866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043307853 |
| PAC ID by PECOS | 9436298866 |
| Professional Enrollment ID | I20091125000072 |
| Full Name | Nathan Copple |
| Organization Legal Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Address |
1644 Central Ave Mckinleyville CA 95519-4342 |
| Phone Number | 7078393068 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436067485 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| 050006 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1644 Central Ave, Mckinleyville, CA 95519-4342 | 7078393068 | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Organization Legal Name | OPEN DOOR COMMUNITY HEALTH CENTERS |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William O Jones | Physician Assistant | Open Door Community Health Centers | 38883 Hwy 299, Willow Creek, CA 95573 |
| Angelo J Alfano | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Evan M Chalfin | Nurse Practitioner | Open Door Community Health Centers | 638 Main St, Ferndale, CA 95536 |
| Diana E Moser | Nurse Practitioner | Open Door Community Health Centers | 3306 Renner Dr, Fortuna, CA 95540-3120 |
| Daniel Richard Lefler | Physician Assistant | Open Door Community Health Centers | 550 E Washington Blvd, Crescent City, CA 95531-8160 |
| Caroline A Lowry | Physician Assistant | Open Door Community Health Centers | 785 18th St, Arcata, CA 95521-5683 |
| Cindy S Norvell | Family Medicine | Open Door Community Health Centers | 770 10th St, Arcata, CA 95521-6210 |
| David C Villasenor | Psychiatry | Open Door Community Health Centers | 2426 Buhne St, Eureka, CA 95501-3207 |
| Angela N Murray | Physician Assistant | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Sandra Yvonne Lee | Nurse Practitioner | Open Door Community Health Centers | 2200 Tydd St, Eureka, CA 95501-1284 |
| Street Address |
1644 CENTRAL AVE |
| City | MCKINLEYVILLE |
| State | CA |
| Zip | 95519-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sacha B Hall | Physician Assistant | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Elizabeth Spellmeyer | Nurse Practitioner | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Valerie J Ebel | Family Medicine | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Tara A Vu | Family Medicine | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Jenna R Martini | Family Medicine | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| William P Carlson | Family Medicine | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Catherine Ulrickson | Nurse Practitioner | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Nina B Goodwin | Nurse Practitioner | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Joseph Carroll | Family Practice | Open Door Community Health Centers | 1644 Central Ave, Mckinleyville, CA 95519-4342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Mott | Family Practice | 1735 Central Ave, Mckinleyville, CA 95519-3601 | |
| John E Fjerstad | Podiatry | 1967 Central Ave, Mckinleyville, CA 95519-3605 | |
| Lori Andra Macfarlane | Optometry | Drs Macfarlane and Ruprecht | 1933 Central Ave A, Mckinleyville, CA 95519-3668 |
| Phillip Ruprecht | Optometry | Drs Macfarlane and Ruprecht | 1933 Central Ave A, Mckinleyville, CA 95519-3668 |
| Eric Towle Duff | Clinical Social Worker | 2355 Central Ave, Mckinleyville, CA 95519-3679 | |
| Sonali Bera | Physical Therapy | Eureka Physical Therapy | 1585 Heartwood Dr Handi, Mckinley Physical Th, Mckinleyville, CA 95519-3991 |
| Martha Henry | Chiropractic | 1585 Heartwood Dr B, Mckinleyville, CA 95519-3993 | |
| Mark C Henry | Chiropractic | 1585 Heartwood Dr B, Mckinleyville, CA 95519-3993 | |
| Sarah C Haag | Psychologist, Clinical | 1660 Central Ave, Suite J, Mckinleyville, CA 95519-4378 | |
| Kate Mccaffrey | Osteopathic Manipulative Medicine | 1660 Central Ave, Suite F, Mckinleyville, CA 95519-4378 | |
| Find all physicians in zip 95519 | |||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MCKINLEYVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nathan Copple.
| 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.