NPIMap

Organization Active NPI

Imber Coppinger, D.O., LLC

  • Primary Care Clinic/Center
  • Athens, OH
National Provider Identifier
1245569532
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34007281 Issued in OH
Legal business name
IMBER COPPINGER, D.O., LLC
Practice address
410 E State St
Athens, OH 45701-1819
Phone
(740) 594-9355
Fax
(740) 594-1110
NPI assigned
Dec 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Imber C Coppinger, D.O.
Title
Owner/Physician
Phone
(740) 594-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34007281 OH Primary

Addresses

Primary practice location

410 E State St
Athens, OH 45701-1819

Mailing address

410 E State St
Athens, OH 45701-1819
Phone (740) 594-9355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1245569532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011819",
            "telephone_number": "740-594-9355",
            "fax_number": "740-594-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E STATE ST",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457011819",
            "telephone_number": "740-594-9355",
            "fax_number": "740-594-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMBER COPPINGER, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "COPPINGER",
        "authorized_official_first_name": "IMBER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "740-594-9355",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34007281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.