Active NPI
Jeffrey Francis Kopecky, CRNA
- Certified Registered Nurse Anesthetist
- Hood River, OR
National Provider Identifier
1124176649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 88006334
- Practice address
- 811 13TH St
Hood River, OR 97031-1204 - Phone
- (541) 387-6330
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 88006334 | OR | Primary |
Addresses
Primary practice location
811 13TH St
Hood River, OR 97031-1204
Mailing address
576 Rocky Rd
Hood River, OR 97031-9731
Phone (541) 387-6330
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88006334 | OR | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124176649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 ROCKY RD",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970319731",
"telephone_number": "541-387-6330",
"fax_number": "541-387-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 13TH ST",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970311204",
"telephone_number": "541-387-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPECKY",
"first_name": "JEFFREY",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "88006334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.