Paul Copps, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036109034 Issued in IL

Practice address

472 N. Rte. 47
Sugar Grove, IL 60554

Phone

(630) 466-6000

Fax

(630) 466-6001

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empact Emergency Physicians LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1982985032
  NPD (past)
• Rush Copley Medical Group

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1194836247
  NPD (past)
• Wrangell Medical Center

  • Critical Access Hospital
  • Wrangell, AK
  • NPI 1518955731
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1235236241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE.",
            "address_2": "SUITE 313",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-499-2404",
            "fax_number": "630-499-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 N. RTE. 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "60554",
            "telephone_number": "630-466-6000",
            "fax_number": "630-466-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPS",
        "first_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109034",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "3922",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361-09034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randi D Bryan, LCSW
• Michelle Linnae Byrd
• Mary Immaculate Cabang
• Clever Fox Counseling, PLLC
• Deborah Ann Convey
• Candida Michelle Cosentino, LMT
• Suzanne Creedon, R.K.T.
• Cynthia G Slocum MSW LCSW PC
• Katherine Dolewski, MSW, LCSW
• Donald J Fee DDS LTD

• Family Medicine Physician in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.