Organization Active NPI

Copperfield Medical Group Inc

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1336429273
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COPPERFIELD MEDICAL GROUP INC
Practice address
7520 Cherry Park Dr Ste A1
Houston, TX 77095-3380
Phone
(281) 463-7170
Fax
(281) 463-7126
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Syuzanna Jerejyan
Title
President
Phone
(281) 463-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7520 Cherry Park Dr Ste A1
Houston, TX 77095-3380

Mailing address

7520 Cherry Park Dr Ste A1
Houston, TX 77095-3380
Phone (281) 463-7170

National Provider Directory

National Provider Directory

Locations

7520 Cherry Park Dr
Ste A1
Houston, TX 77095
Phone (281) 463-7170

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1336429273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 CHERRY PARK DR STE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953380",
            "telephone_number": "281-463-7170",
            "fax_number": "281-463-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 CHERRY PARK DR STE A1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953380",
            "telephone_number": "281-463-7170",
            "fax_number": "281-463-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERFIELD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "JEREJYAN",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-463-7170"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.