Active NPI
Ann Kopelson, MD
- General Practice Physician
- Pace, FL
National Provider Identifier
1154555449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22178
- Practice address
- 3683 Gardenview St
Pace, FL 32571-7337 - Phone
- (850) 512-3586
- NPI assigned
- May 14, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22178 | AL | Primary |
Addresses
Primary practice location
3683 Gardenview St
Pace, FL 32571-7337
Mailing address
3683 Gardenview St
Pace, FL 32571-7337
Phone (850) 512-3586
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22178 | AL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1154555449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3683 GARDENVIEW ST",
"city": "PACE",
"state": "FL",
"postal_code": "325717337",
"telephone_number": "850-512-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3683 GARDENVIEW ST",
"city": "PACE",
"state": "FL",
"postal_code": "325717337",
"telephone_number": "850-512-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPELSON",
"first_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "22178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.