Provider Demographics
NPI:1023242088
Name:KOPINSKI, JUDITH EMILY (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:EMILY
Last Name:KOPINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 E LOWRY BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7195
Mailing Address - Country:US
Mailing Address - Phone:303-695-6060
Mailing Address - Fax:303-369-7776
Practice Address - Street 1:145 INVERNESS DR E STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5172
Practice Address - Country:US
Practice Address - Phone:303-695-6060
Practice Address - Fax:303-369-7776
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD459126207XS0114X, 207X00000X
MO2015005957207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPO1761211OtherRAILROAD MEDICARE
PA103152288Medicaid