Active NPI
Mark A Coppes, MD
- Orthopaedic Surgery Physician
- Wakefield, RI
National Provider Identifier
1275597668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- RI08857
- Practice address
- 1 High St
Wakefield, RI 02879-3103 - Phone
- (401) 789-1422
- NPI assigned
- Apr 13, 2006
- Last updated
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | RI08857 | RI | Primary |
Addresses
Primary practice location
1 High St
Wakefield, RI 02879-3103
Mailing address
1 High St
Wakefield, RI 02879-3103
Phone (401) 789-1422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000628 | Medicaid | RI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI08857 | RI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1275597668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HIGH ST",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793103",
"telephone_number": "401-789-1422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HIGH ST",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793103",
"telephone_number": "401-789-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPES",
"first_name": "MARK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "RI08857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000628",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.