Kopp Family Foot Care, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003740L Issued in PA

Legal business name

KOPP FAMILY FOOT CARE, PC

Practice address

303 Budfield St
Johnstown, PA 15904-3213

Phone

(814) 266-6124

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Joseph Kopp, DPM

Title

Owner

Phone

(814) 266-6124

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427178649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP FAMILY FOOT CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-266-6124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003740L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "08192",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015131540001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Kondash, M.A.
• Jordan Louise Koontz, PA-C
• Hannah Nicole Kopach
• Travis George Kopach, PT
• Sarah J Kopnicky, PA-C
• Brian Joseph Kopp, DPM
• Warsha Mal Korani, MBBS
• Daria J Kordell, PA-C
• Jacqueline Lee Korhut, RN
• Andrea L Kormanik, OTR/L

• Podiatrist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Podiatrist in Pennsylvania

• 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.