Jennifer Koop, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11629 Issued in NH

Practice address

100 Campus Dr
Suite 12
Portsmouth, NH 03801-5892

Phone

(603) 422-8208

Fax

(603) 422-8218

NPI assigned

Sep 8, 2005

Last updated

Jul 23, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Seacoast Community Health

  dba Families First Health & Support Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, NH
  • NPI 1114935871
  Medicare reassignment NPD
• Greater Seacoast Community Health

  dba Goodwin Community Health

  • Federally Qualified Health Center (FQHC)
  • Somersworth, NH
  • NPI 1578854287
  Medicare reassignment NPD
• Greater Seacoast Community Health

  • Federally Qualified Health Center (FQHC)
  • Somersworth, NH
  • NPI 1235815309
  NPD
• Appledore Medical Group Inc

  • Family Medicine Physician
  • Portsmouth, NH
  • NPI 1104873421
  NPD (past)
• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1699769372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 12",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR",
            "address_2": "SUITE 12",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015892",
            "telephone_number": "603-422-8208",
            "fax_number": "603-422-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOP",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073175",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene A. Knapp, MD
• Meghan Kathryn Knight-Dupuis
• Ann Knight
• Savannah Knisely, DPT
• Min Jung Ko, DDS
• Leonard Korn, M.D.
• Justin Korsupsin
• Jay Frederick Kosegarten
• Michael Kotsonis
• Aristomenis Kounavis, MD

• Family Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.