Provider Demographics
NPI:1093743551
Name:COPLIN, MARGARET A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:COPLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:450 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6835
Mailing Address - Country:US
Mailing Address - Phone:314-989-1300
Mailing Address - Fax:314-989-1323
Practice Address - Street 1:54 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065
Practice Address - Country:US
Practice Address - Phone:573-302-2772
Practice Address - Fax:573-302-2884
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2000156446133N00000X, 207RH0003X, 207RX0202X
IN01093028A207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209222801Medicaid
MO919053094Medicare ID - Type UnspecifiedCOPLIN MEDICARE NUMBER
MOI10858Medicare UPIN