Tarek Victor Copty, M.D.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

MD434786 Issued in PA

Practice address

201 South 18TH Street
Apt 617
Philadelphia, PA 19103

Phone

(267) 934-8893

NPI assigned

Jan 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bristow Medical Center Operating Company

  • General Acute Care Hospital
  • Bristow, OK
  • NPI 1730414244
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1396982419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH 18TH STREET",
            "address_2": "APT 617",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "267-934-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTH 18TH STREET",
            "address_2": "APT 617",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19103",
            "telephone_number": "267-934-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPTY",
        "first_name": "TAREK",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "MD434786",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "26717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dagan Edrick Coppock, MD
• Gaia Coppock, MD
• Anna Marie Coppola, LCSW
• Kathleen Coppola, MD
• Giavanna Copsetta, MS
• Cor Family Home Care
• Cora Services, Inc.
• Jonathan Coraor Fried, MD
• Juliana Coraor Fried, MD, PHD
• Corbett Caregiving Services LLC

• General Acute Care Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.