NPIMap

Individual provider Active NPI

Terese Agnes Copeland, MD

  • Allergy Physician
  • Saratoga Springs, NY
National Provider Identifier
1316936339
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
206064 Issued in NY
Practice address
414 Maple Ave Ste 600
Saratoga Springs, NY 12866
Phone
(518) 581-0999
Fax
(518) 581-7098
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 206064 NY Primary

Addresses

Primary practice location

414 Maple Ave Ste 600
Saratoga Springs, NY 12866

Mailing address

414 Maple Ave Ste 600
Saratoga Springs, NY 12866-5555
Phone (518) 581-0999

Other identifiers 1

IdentifierTypeStateIssuer
01760076MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001036 NY Practitioner - Allergy/Immunology 9931090545 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

414 Maple Ave
Suite 600
Saratoga Springs, NY 12866-5555
Phone (518) 581-0999

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1316936339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 600",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665555",
            "telephone_number": "518-581-0999",
            "fax_number": "518-581-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE STE 600",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-581-0999",
            "fax_number": "518-581-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "TERESE",
        "middle_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "206064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01760076",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.