NPIMap

Organization Active NPI

Stanley a. Kopp, M.D., P.S.

  • Orthopaedic Surgery Physician
  • Kirkland, WA
National Provider Identifier
1932393709
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD25061 Issued in WA
Legal business name
STANLEY A. KOPP, M.D., P.S.
Practice address
12911 120TH Ave NE
Suite C-50
Kirkland, WA 98034-3027
Phone
(425) 823-1052
Fax
(425) 899-4243
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Stanley A Kopp, M.D.
Title
Sole Proprietor
Phone
(425) 823-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X MD25061 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE
Suite C-50
Kirkland, WA 98034-3027

Mailing address

PO Box 1302
Mukilteo, WA 98275-1302
Phone (425) 823-1052

Other identifiers 2

IdentifierTypeStateIssuer
1109636MedicaidWA
0133957OtherWADEPT. LABOR AND INDUSTRIE

National Provider Directory

National Provider Directory

Locations

16404 Smokey Point Blvd
Ste 307
Arlington, WA 98223
Phone (360) 653-0950

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1932393709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1302",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751302",
            "telephone_number": "425-823-1052",
            "fax_number": "425-899-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE C-50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-823-1052",
            "fax_number": "425-899-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. KOPP, M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "KOPP",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "425-823-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD25061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109636",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. LABOR AND INDUSTRIE",
            "identifier": "0133957",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.