NPIMap

Organization Active NPI

High Pines Urology PC

  • Urology Physician
  • Lakeside, AZ
National Provider Identifier
1407969637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
71818 Issued in AZ
Legal business name
HIGH PINES UROLOGY PC
Practice address
300 W White Mountain Blvd
Suite C
Lakeside, AZ 85929
Phone
(928) 367-2832
Fax
(928) 367-3321
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Duan Craig Copeland, M.D.
Title
Owner
Phone
(928) 367-2832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 71818 AZ Primary

Addresses

Primary practice location

300 W White Mountain Blvd
Suite C
Lakeside, AZ 85929

Mailing address

PO Box 2619
Lakeside, AZ 85929-2619
Phone (928) 367-2832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407969637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2619",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859292619",
            "telephone_number": "928-367-2832",
            "fax_number": "928-367-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WHITE MOUNTAIN BLVD",
            "address_2": "SUITE C",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-2832",
            "fax_number": "928-367-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PINES UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "DUAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-2832",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "71818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.