Dr. Carl D Coppola
Otolaryngologist (ENT Doctor)
2429 Bush Ridge Drive Suite 103
Louisville
, Kentucky 40245-5914
Dr. Carl D Coppola
Otolaryngologist (ENT Doctor)
2429 Bush Ridge Drive Suite 103
Louisville
, Kentucky 40245-5914
(502) 386-4031
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Carl D Coppola
- 800 Towner Pl
- Anchorage, KY
- Zip : 40223-2567
- Phone : (502) 386-4031
Second Address
- Dr. Carl D Coppola
- 2429 Bush Ridge Drive Suite 103
- Louisville, KY
- Zip : 40245-5914
- Fax : (502) 893-1662
- Phone : (502) 893-3683
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 28995 | KY |
National Provider Identifier
| NPI | 1023006681 |
|---|---|
| Provider Name | Dr. Carl D Coppola |
| First Address | Anchorage, KY 40223-2567 |
| Second Address | Louisville, KY 40245-5914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2005 |
| Last Update Date | 18/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000045699 | ANTHEM (01) | KY |
| 040011473 | RAILROAD MEDICARE (01) | KY |
| 1052620 | PASSPORT (01) | KY |
| 2862 | BCBS (01) | KY |
| 64289952 | (05) | KY |
| F11324 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.