Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Kopenitz, DO

Individual provider Anesthesiology Physician · NPI 1104323997

Jason Kopenitz, DO is an Anesthesiology in Charlotte, North Carolina. Graduated from Campbell Univ School of Osteopathic Medicine in 2018, 8 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
8
Trained at
Campbell Univ School of Osteopathic Medicine
Licensed in
NC, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Phone: (704) 749-5800
Fax: (704) 626-3237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2536 Lengers Way, Fort Mill, SC 29707-7126 — (704) 749-5800

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2022-00657 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 91310 (SC)

Record details

NPI number1104323997
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 9, 2018
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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