Active NPI
Michelle Marie Copeland, AU.D.
- Audiologist
- Mount Vernon, OH
National Provider Identifier
1700188182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.01756
- Practice address
- 1451 Yauger Rd Ste 1B
Mount Vernon, OH 43050-7906 - Phone
- (740) 397-0700
- Fax
- (740) 392-4620
- NPI assigned
- Nov 17, 2010
- Last updated
- Nov 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.01756 | OH | Primary |
Addresses
Primary practice location
1451 Yauger Rd Ste 1B
Mount Vernon, OH 43050-7906
Mailing address
1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9000
Other names 1
- Michelle Lerch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.01756 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Ohio Family Care Center, Inc | Current | Accepting new patients | |
| Knox Community Hospital | Past | Accepting new patients | |
| Ohio Ear Institute LLC | Past | Accepting new patients | |
| Diseases of the Ears, Nose and Throat, Inc | Past | Accepting new patients |
Locations
269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547
715 Richland Mall
Ontario, OH 44906
Phone (419) 462-4547
Interoperability endpoints
- https://api.platform.athenahealth.com/16219/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/2586/brand/1/csg/1/fhir/r4
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.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- Otolaryngology Physician
- Gahanna, OH
- NPI 1720183163
-
dba KCH Northside Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- Otology & Neurotology Physician
- Westerville, OH
- NPI 1720157381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542326400000",
"number": "1700188182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 COSHOCTON AVE",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "43050",
"telephone_number": "740-393-9000",
"fax_number": "740-392-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 YAUGER RD STE 1B",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430507906",
"telephone_number": "740-397-0700",
"fax_number": "740-392-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2018-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.01756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "LERCH",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.