Kenneth Edward Kopitzke

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

15100 Rescue Way
Uscg Air Station Clearwater Clinic
Clearwater, FL 33762

Phone

(727) 535-1437

Fax

(727) 535-4190

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1326215724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "USCG AIR STATION CLEARWATER CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-535-1437",
            "fax_number": "727-535-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "USCG AIR STATION CLEARWATER CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-535-1437",
            "fax_number": "727-535-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITZKE",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias M. Kolettis, D.O.
• Patti J Kolp, R.N.
• Janet Kolthammer
• Nancy Annette Konow, LDH
• Heather Kopecky
• Heidi Gale Korn
• David Samuel Kornblum, MD
• Angela M. Korte, D.C.
• Kimberly Korthanke
• Edward Dwight Kosakoski, D.M.D

• Military Health Care Provider in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Military Health Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.