Provider Demographics
NPI:1437688868
Name:KOPPLIN, ECHO LINDSAY (DMSC, PA-C)
Entity type:Individual
Prefix:DR
First Name:ECHO
Middle Name:LINDSAY
Last Name:KOPPLIN
Suffix:
Gender:F
Credentials:DMSC, PA-C
Other - Prefix:MISS
Other - First Name:ECHO
Other - Middle Name:LINDSAY
Other - Last Name:BARTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:115 N 7TH ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-2710
Mailing Address - Country:US
Mailing Address - Phone:605-645-0100
Mailing Address - Fax:605-717-1009
Practice Address - Street 1:135 PONDEROSA AVE
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:SD
Practice Address - Zip Code:57745-6057
Practice Address - Country:US
Practice Address - Phone:605-394-2118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1441363A00000X, 363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty