Institutional Medical Associates, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INSTITUTIONAL MEDICAL ASSOCIATES, INC

Practice address

6172 Cleveland Ave
Columbus, OH 43231-1614

Phone

(614) 882-7131

Fax

(614) 882-7138

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Lewis W Coppel Jr., M.D.

Title

Owner

Phone

(614) 880-5330

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1205043890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 W CAMPUS OVAL",
            "address_2": "SUITE 150",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548830",
            "telephone_number": "614-781-4138",
            "fax_number": "614-781-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6172 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432311614",
            "telephone_number": "614-882-7131",
            "fax_number": "614-882-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTIONAL MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "COPPEL",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-880-5330",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.