Active NPI
John Andrew Copeland, MD
- Anesthesiology Physician
- Redding, CA
National Provider Identifier
1861476822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A93874
- Practice address
- 46 72 Kilkee
Redding, CA 96001 - Phone
- (530) 242-5865
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L7341 | TX | |
| Anesthesiology Physician | 207L00000X | A93874 | CA | Primary |
Addresses
Primary practice location
46 72 Kilkee
Redding, CA 96001
Mailing address
46 72 Kilkee
Redding, CA 96001
Phone (530) 242-5865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639858-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93874 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Providers of East Texas, PA | Past | Accepting new patients | |
| Anderson County Anesthesia Associates, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Palestine, TX
- NPI 1699763557
-
- Certified Registered Nurse Anesthetist
- Palestine, TX
- NPI 1063400075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1861476822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 72 KILKEE",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-242-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 72 KILKEE",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-242-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "JOHN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "L7341",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A93874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639858-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.