CHARLES E COPPINGER PA NPI 1003009911

Physician Assistant in Fort Worth, TX

About CHARLES COPPINGER

Charles Coppinger is a provider in Fort Worth, TX. The NPI number assigned to this provider is 1003009911. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago.

NPI1003009911 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name CHARLES E COPPINGER PA
Provider Location Address1500 COOPER ST FORT WORTH, TX 76104 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 99371 FORT WORTH, TX 76199 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-06-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CHARLES E COPPINGER PA
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-4405
Fax: (682) 885-4407
Get Directions

Mailing Address

CHARLES E COPPINGER PA
PO BOX 99371
FORT WORTH, TX
ZIP 76199
Phone: (682) 885-1855
Fax: (682) 885-7347

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA04463
License StateTX
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
TXB129776MEDICARE PIN (08)
282601801MEDICAID (05)TX

Map Location


CHARLES E COPPINGER PA address is 1500 COOPER ST FORT WORTH, TX 76104

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023029204 JAMES C CUNNINGHAM MD
Individual
Pediatrics (Pediatric Pulmonology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-6299
1023096963 JANICE L RANDEL CPNP
Individual
Nurse Practitioner (Pediatrics)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-2140
1063493831 JAMES P MILLER MD
Individual
Surgery (Pediatric Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-7080
1184636078 WILLIAM P BOWMAN MD
Individual
Pediatrics (Pediatric Hematology-Oncology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4007
1184739534 NANCY N DAMBRO MD
Individual
Pediatrics (Pediatric Pulmonology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-6299
1306858295 RONALD G BURKE MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4405
1326050279 J HUDSON ALLENDER MD
Individual
Pediatrics (Pediatric Cardiology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-2140
1346221116 JOSE L IGLESIAS MD
Individual
Surgery (Pediatric Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-7080
1528096658 BANKOLE O OSUNTOKUN MD
Individual
Pediatrics (Pediatric Gastroenterology)1500 COOPER ST
FORT WORTH, TX 76104
(817) 348-1990
1538264239 LARRY D MESSER MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4405
1578671632 DAVID J DONAHUE MD
Individual
Neurological Surgery1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-2500
1619988763 MAYNARD C DYSON MD
Individual
Pediatrics (Pediatric Pulmonology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-6299
1730106337 RICHARD D SCHUSTER MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4405
1760452080COOK CHILDREN'S MEDICAL CENTER
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-3944
1790714145 FERNANDO ACOSTA M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-2500
1790732931 ANNE MARIE HACKMAN MD
Individual
Pediatrics (Pediatric Cardiology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-2140
1861406803 KENNETH M HEYM MD
Individual
Pediatrics (Pediatric Hematology-Oncology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4007
1871603522 LYNNE M EGER MD
Individual
Pediatrics (Pediatric Infectious Diseases)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-1485
1922110311 DAVID W GRAY MD
Individual
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4405
1982664074 KAREN H ALBRITTON MD
Individual
Pediatrics (Pediatric Hematology-Oncology)1500 COOPER ST
FORT WORTH, TX 76104
(682) 885-4007