NPIMap

Organization Active NPI

Rene Koppel, M.D. - a Professional Medical Corporation

  • Dermatology Physician
  • La Place, LA
National Provider Identifier
1255517371
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
022658 Issued in LA
Legal business name
RENE KOPPEL, M.D. - A PROFESSIONAL MEDICAL CORPORATION
Practice address
502 Rue de Sante
Suite #303
La Place, LA 70068-5424
Phone
(985) 651-4432
Fax
(985) 651-4474
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Dr. Rene Koppel, M.D.NPI 1861459547
Title
Dermatologist
Phone
(504) 454-1885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 022658 LA Primary

Addresses

Primary practice location

502 Rue de Sante
Suite #303
La Place, LA 70068-5424

Mailing address

3640 Houma Blvd
Metairie, LA 70006-4230
Phone (504) 454-1885

National Provider Directory

National Provider Directory
Tax ID family
Rene Koppel MD - a Professional Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1255517371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064230",
            "telephone_number": "504-454-1885",
            "fax_number": "504-454-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE #303",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "985-651-4432",
            "fax_number": "985-651-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE KOPPEL, M.D. - A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "504-454-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "022658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.