Active NPI
Andrew Stephen Koopmeiners, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
National Provider Identifier
1629326137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2012017700
- Practice address
- 660 So. Euclid, Box 8118
Washington University Department of Pathology
Saint Louis, MO 63108 - Phone
- (314) 362-7440
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2012017700 | MO | Primary |
Addresses
Primary practice location
660 So. Euclid, Box 8118
Washington University Department of Pathology
Saint Louis, MO 63108
Mailing address
660 So. Euclid, Box 8118
Washington University Department of Pathology
Saint Louis, MO 63108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017700 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1629326137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 SO. EUCLID, BOX 8118",
"address_2": "WASHINGTON UNIVERSITY DEPARTMENT OF PATHOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 SO. EUCLID, BOX 8118",
"address_2": "WASHINGTON UNIVERSITY DEPARTMENT OF PATHOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-362-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOPMEINERS",
"first_name": "ANDREW",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2012017700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.