Jeffrey A Kopp, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025711 Issued in CT

Practice address

1591 Boston Post Rd
Suite 100
Guilford, CT 06437-4335

Phone

(203) 453-9911

Fax

(203) 458-1905

NPI assigned

Aug 13, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1659384733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FARM SPRINGS RD",
            "address_2": "PROHEALTH PHYSICIANS",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322573",
            "telephone_number": "860-284-5200",
            "fax_number": "860-284-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 BOSTON POST RD",
            "address_2": "SUITE 100",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374335",
            "telephone_number": "203-453-9911",
            "fax_number": "203-458-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "025711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Klatzkie, LCSW
• Janelle Kleiner
• Kevin Knowlton, FNP-C
• Albert C Koegler, M.D.
• Sarah Kondziela, BCBA, LBA
• Kenneth A Kosior Jr., MPT, ATC
• Linda Koumpouras, MD
• Maria Christina Koursaris, APRN
• Theresa Lynn Koziell, PT,MT
• Kathryn Ann Kruser, APRN

• Family Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.