Tamara Paola Gonzalez Copo

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4351049611 Issued in MI

Practice address

4735 W River Dr NE
Comstock Park, MI 49321-9602

Phone

(616) 784-9400

NPI assigned

Jul 24, 2020

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tgonzalez482794@epic00.corewelldirect.org

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

• Kent Pediatrics, PC

  • Pediatrics Physician
  • Comstock Park, MI
  • NPI 1871689638
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1457960502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 W RIVER DR NE",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219602",
            "telephone_number": "616-784-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 W RIVER DR NE",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493219602",
            "telephone_number": "616-784-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ COPO",
        "first_name": "TAMARA",
        "middle_name": "PAOLA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4351049611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Esese
• Eyemart Express LLC
• Scott Patrick Flynn
• Nora Delia Garcia
• Joshua Gonzales, CCC-SLP
• Gorbach Family Chiropractic LLC
• Jeffrey M Gorbach, D.C.
• Ashling Greene
• Heather Marie Greko, L.P.C, C.A.A.D.C.
• Growing Roots

• Pediatrics Physician in Comstock Park, MI
• Providers in Comstock Park, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.