Emily Kopek, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2090 Issued in TN

Practice address

10820 Kingston Pike Ste 9
Knoxville, TN 37934-3065

Phone

(865) 367-9506

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Side Medical Clinic

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1508297367
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1801168232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 KINGSTON PIKE STE 9",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343065",
            "telephone_number": "865-367-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 KINGSTON PIKE STE 9",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343065",
            "telephone_number": "865-367-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEK",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Konomos, MD
• Lindsey Powell Kontovich, M.ED
• Andrea Elizabeth Kooch, PA-C
• Haley Kooles, COTA
• Stephanie Lynn Koonce, PA-C
• Benjamin Joseph Kopp
• Samantha Kopp, LCSW
• Irina Kopt-Abrams, FNP-BC
• Valeriya Korchina, DO
• James Frank Koren, PHARMD, BCPS

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.