Laura Demopoulos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

173002 Issued in NY

Practice address

419 Cozy Hollow Rd
Prattsville, NY 12468-7017

Phone

(215) 429-4035

NPI assigned

May 27, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1922055805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 COZY HOLLOW RD",
            "city": "PRATTSVILLE",
            "state": "NY",
            "postal_code": "124687017",
            "telephone_number": "215-429-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 COZY HOLLOW RD",
            "city": "PRATTSVILLE",
            "state": "NY",
            "postal_code": "124687017",
            "telephone_number": "215-429-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOPOULOS",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD060528L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "173002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016479710003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheri Nanette Oliver, MS/SLP

• Internal Medicine Physician in Prattsville, NY
• Providers in Prattsville, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.