Individual provider Active NPI

Ronald M. Cope, PAC

  • Physician Assistant
  • Oak Harbor, WA
National Provider Identifier
1104804152
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004948 Issued in WA
Practice address
3475 N. Saratoga St.
Oak Harbor, WA 98278-0800
Phone
(360) 257-9927
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004948 WA Primary

Addresses

Primary practice location

3475 N. Saratoga St.
Oak Harbor, WA 98278-0800

Mailing address

3475 N. Saratoga St.
Oak Harbor, WA 98278-0800
Phone (360) 257-9927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA10004948WAMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1104804152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 N. SARATOGA ST.",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982780800",
            "telephone_number": "360-257-9927",
            "fax_number": "360-257-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N. SARATOGA ST.",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982780800",
            "telephone_number": "360-257-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPE",
        "first_name": "RONALD",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.