| Jason Kopenitz, DO | |
|
3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 | |
| (704) 749-5800 | |
| (704) 626-3237 |
| Full Name | Jason Kopenitz |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3735 Glenlake Dr Ste 250, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104323997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2022-00657 (North Carolina) | Primary |
| 207L00000X | Anesthesiology | 91310 (South Carolina) | Secondary |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Kopenitz, DO Po Box 117661, Atlanta, GA 30368-7661 Ph: (704) 749-5800 | Jason Kopenitz, DO 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 Ph: (704) 749-5800 |
Michael J Mcnelis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Norman A Holmes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 200 Providence Rd, Suite 101, Charlotte, NC 28207 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. James Peter Deering Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7825 Ballantyne Commons Pkwy Ste 150, Charlotte, NC 28277 Phone: 704-544-6920 Fax: 704-316-3061 | |
Dr. Kim Rita Blumberg, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-749-5800 Fax: 704-749-5819 | |
Dr. Adewunmi Abiodun Akande, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210 Phone: 704-526-0091 Fax: 980-237-6858 | |
Dr. James Michael Doyle, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2372 Fax: 704-355-6692 | |
Dr. Charles David Hord, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2825 Randolph Rd, Charlotte, NC 28211 Phone: 704-377-1647 Fax: 704-358-8267 |