Dr. Tara Conway Copper

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Dr. Tara Conway Copper basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Dr. Tara Conway Copper
Credential :	MD
Gender :	Female

Business Address:

Dr. Tara Conway Copper address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Emergency Med Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2341
Fax Number :	314-454-4345

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1417261967
NPI Entity Type :	Individual
First Enrolment Date :	27 Jul, 2010
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Tara Conway Copper participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4880817568
Medicare Enrollment ID :	I20140527001986
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Miami, Lm Miller School Of Medicine
Graduation Year :	2010
Accepts Medicare?	Yes. Dr. Tara Conway Copper accepts medicare insurance.

Group Practice Association:

Dr. Tara Conway Copper is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Tara Conway Copper is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002 Ph: 3142731006	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tara Conway Copper are as mentioned. Primary taxonomy code for Dr. Tara Conway Copper, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2013018492	MO
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	2013018492	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Tara Conway Copper such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200011427	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2341
Fax Number :	314-454-4345

Business Location:

Patients can refer following map for directions to Dr. Tara Conway Copper practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.