Richard Martin Coppola, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS003596 Issued in FL

Practice address

1208 N University Dr
Plantation, FL 33322-4724

Phone

(954) 583-0412

Fax

(954) 584-3906

NPI assigned

Jul 18, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Osteopathy

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1487673851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224724",
            "telephone_number": "954-583-0412",
            "fax_number": "954-584-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "RICHARD",
        "middle_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS003596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "592228969",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Cooper III, LMHC
• William Richard Cooper, DC
• Coordinated Patient Care Inc
• Karja S. Cope, LCSW
• Laura Coppee
• Cora Health Services Inc (CORA Physical Therapy - Fort Lauderdale)
• Cora Health Services, Inc (CORA Physical Therapy - Plantation)
• Coral Anesthesia Partners LLC
• Coral Ridge Professional Group LLC
• Coral Springs Pulmonary Medicine, P.a.

• General Practice Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.