Active NPI
Jonathan Robert Kopka, CRNA
- Certified Registered Nurse Anesthetist
- Kingston, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN549838
- Practice address
- 673 Wyoming Ave Apt C
Kingston, PA 18704-3862 - Phone
- (570) 709-1509
- NPI assigned
- Jul 27, 2012
- Last updated
- Jul 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN549838 | PA | Primary |
Addresses
Primary practice location
673 Wyoming Ave Apt C
Kingston, PA 18704-3862
Mailing address
673 Wyoming Ave Apt C
Kingston, PA 18704-3862
Phone (570) 709-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6850 Lows Rd
Bloomsburg, PA 17815-8708
Phone (570) 784-6070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fsljc, LLC. | Current | Accepting new patients | |
| Lehigh Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Francis J. Collini, MD, Facs, P.C. | Current | Accepting new patients | |
| Gulfstream Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
6850 Lows Rd
Bloomsburg, PA 17815
Phone (570) 784-6243
875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010
1845 Memorial Hwy
Shavertown, PA 18708
Phone (570) 674-6525
275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1508842246
-
dba The Renaissance Center for Plastic Surgery
- Ambulatory Surgical Clinic/Center
- Shavertown, PA
- NPI 1346266087
-
- Anesthesiology Physician
- Troy, PA
- NPI 1992713242
Nurse Anesthetist, Certified Registered
-
- Plastic Surgery Physician
- Shavertown, PA
- NPI 1982846903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1518213586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 WYOMING AVE APT C",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043862",
"telephone_number": "570-709-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 WYOMING AVE APT C",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187043862",
"telephone_number": "570-709-1509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPKA",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN549838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.