Stanley Albert Kopp, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD00025061 Issued in WA

Practice address

12911 120TH Ave NE
Suite C-50
Kirkland, WA 98034-3027

Phone

(425) 823-1052

Fax

(425) 899-4243

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Public Hospital District No. 4, King County Washington

  • Adult Medicine Physician
  • Snoqualmie, WA
  • NPI 1346280922
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1407893969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1302",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751302",
            "telephone_number": "425-514-8070",
            "fax_number": "425-710-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE C-50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-823-1052",
            "fax_number": "425-899-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "STANLEY",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00025061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Kollar, PT, DPT
• Dilanur Komar, RN
• Aimee L Kong, DDS
• Erin Leigh Konkle, DPT
• Leanne Konzelman, LMHC
• Shilpa Korah, PHARMD
• Jennifer Kristin Kosaka, DDS
• Heidi Beth Koss, LMHC
• Samantha Blair Kossof
• Crystal Charlotte Kostelyk, ARNP

• Orthopaedic Surgery Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.