Jerry Joshua Kopelman, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

17007 Issued in CO

Practice address

1550 S Potomac St
Suite 340
Aurora, CO 80012-5455

Phone

(303) 797-7227

Fax

(303) 797-8448

NPI assigned

Feb 12, 2007

Sex

Male

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 CO

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

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.

• Healthone Clinic Services LLC

  • Obstetrics & Gynecology Physician
  • Thornton, CO
  • NPI 1215017652
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1912049792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "SUITE 340",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-797-7227",
            "fax_number": "303-797-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "SUITE 340",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-797-7227",
            "fax_number": "303-797-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELMAN",
        "first_name": "JERRY",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "17007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01170075",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Koogle
• Ama A Koomson, FNP
• Kelly Koon, PHARMD
• Jodi Lee Koops, LPC
• Benjamin J Kopecky, MD
• Danielle Koplitz, LPC
• Hannah Spear Kopp, FNP
• Matthew T Kopp, CRNA
• Nathaniel Robert Kopp, PA-C
• David Allen Koppers

• Obstetrics & Gynecology Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.