Individual provider Active NPI

Lawrence S Copeland, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1790758886
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4809 Issued in NV
Practice address
653 Ntown Center Drive
Suite 101
Las Vegas, NV 89144-4000
Phone
(702) 485-2791
Fax
(702) 485-2812
NPI assigned
Feb 9, 2006
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4809 NV Primary

Addresses

Primary practice location

653 Ntown Center Drive
Suite 101
Las Vegas, NV 89144-4000

Mailing address

653 Ntown Center Drive
Suite 101
Las Vegas, NV 89144-4000
Phone (702) 485-2791

Other identifiers 1

IdentifierTypeStateIssuer
2002419MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20070430000197 NV Practitioner - Internal Medicine 2860598349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4809NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leo Gan-Lim, M.D., Prof Corp Internal Medicine CurrentSince Jul 14, 2020 Accepting new patients
Internal Medicine Associates Laboratory Past Accepting new patients
Copeland - Beajow Medical Institute, CHTD Internal Medicine Past Accepting new patients

Locations

653 N Town Center Dr
Ste 101
Las Vegas, NV 89144
Phone (702) 485-2791

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1790758886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 NTOWN CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444000",
            "telephone_number": "702-485-2791",
            "fax_number": "702-485-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 NTOWN CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444000",
            "telephone_number": "702-485-2791",
            "fax_number": "702-485-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "LAWRENCE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "4809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002419",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.