Larry J Coppola, DO
Family Medicine in Johnston, IA. Individual provider (NPI-1).
NPI number1922073022
StatusActive
Last updated in NPPESNov 17, 2015
Details
- NPI
- 1922073022
- Entity type
- Individual (NPI-1)
- Name
- Larry J Coppola
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2006
- Last updated
- Nov 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02453 | IA | Yes |
Practice location
5731 Greendale RdSuite 100
Johnston, IA 50131-1593
Phone 515-270-1000 · Fax 515-331-6581
Mailing address
5731 Greendale RdSuite 100
Johnston, IA 50131-1593
Phone 515-270-1000 · Fax 515-331-6581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Family Medicine Physician providers in Johnston · All 771 providers in Johnston
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