Individual provider · Type 1 NPI

Charles Lee Copeland, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1336460161 Active

Practice location

7900 W Jefferson Blvd, Suite 304
Fort Wayne, IN 46804-4128

Call (260) 969-6200 Map

Fax (260) 969-6201

Mailing address

PO Box 8857
Fort Wayne, IN 46898-8857

Other practice locations

  • PO Box 635004, Cincinnati, OH 45263-5004 · (888) 952-6772
  • 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 · (260) 435-2699

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1336460161

Charles Lee Copeland, PA-C's National Provider Identifier is 1336460161, issued on Jun 16, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 10, 2025.