FAMILY MEDICAL WALK IN CENTER PC (NPI# 1982884185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982884185 |
Entity Type | Organization |
Organization Name | FAMILY MEDICAL WALK IN CENTER PC |
Practice Address |
8102 E Mcdowell Rd Suite 2a Scottsdale AZ 85257-3809 |
Mailing Address |
Po Box 29211 Phoenix AZ 85038-9211 |
Practice Telephone | 6022736770 |
Practice Fax Number | 6028890489 |
Mailing Telephone | 6022736770 |
Mailing Fax Number | 6028890489 |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |
Authorized Official Name | MOREEN KOPPULA (PRESIDENT / OWNER) |
Authorized Official Telephone | 6022736770 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
8102 E MCDOWELL RD SUITE 2A |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85257-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316943194 | Moreen Koppula | Anesthesiology | 8102 E Mcdowell Rd, Ste 2c, Scottsdale, AZ 85257-3809 | 2005-06-24 |
1821222456 | Duane Edmund Ellsworth | Anesthesiology | 8102 E Mcdowell Rd, Canyon State Anesthesiology, Scottsdale, AZ 85257-3809 | 2009-05-11 |
1548482078 | Sam Koppula Md | Family Medicine | 8102 E Mcdowell Rd, Suite 1a, Scottsdale, AZ 85257 | 2007-05-03 |
1013071596 | Daniel D Rodriguez | Anesthesiology | 8102 E Mcdowell Rd, Suite 2a, Scottsdale, AZ 85257-3809 | 2006-12-20 |
1265439525 | Canyon State Anesthesiologists PC | Anesthesiology | 8102 E Mcdowell Rd, Suite 2a, Scottsdale, AZ 85257-3809 | 2005-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639717655 | Bodysculpting Outpatient Surgery Center, LLC | Clinic/Center | 2255 N Scottsdale Road, Scottsdale, AZ 85257 | 2019-12-20 |
1043717143 | Cristina Ibarra | Specialist/Technologist | 1250 N 77 St, Scottsdale, AZ 85257 | 2018-04-06 |
1043725765 | Pacifica Sl Scottsdale LLC | Alzheimer Center (Dementia Center) | 2620 N. 68th Street, Scottsdale, AZ 85257 | 2017-12-04 |
1972027290 | Ashley Annmarie Richardson | Speech-Language Pathologist | 6731 E Granada Rd, Scottsdale, AZ 85257 | 2017-07-28 |
1336541754 | Jennifer Ann Leitz | Specialist/Technologist | 1250 N 77th St, Scottsdale, AZ 85257 | 2014-09-17 |
1427465335 | Rachid Daniel Faqir | Chiropractor | 2765 N. Scottsdale Rd., #108, Scottsdale, AZ 85257 | 2014-07-14 |
1831448869 | Maynard Chiropractic & Wellness Center Inc | Chiropractor | 1920 North Scottsdale Rd, Scottsdale, AZ 85257 | 2012-09-06 |
1750663720 | Souad Matkin | Registered Nurse | 701 N Miller Road, Scottsdale, AZ 85257 | 2011-09-15 |
1700192077 | Mission Treatment Centers, Inc. | Clinic/Center | 617 N.scottsdale Rd, Ste. D, Scottsdale, AZ 85257 | 2010-08-25 |
1780905026 | Karen Wister Kearns | Counselor | 1855 N 79th Pl, Scottsdale, AZ 85257 | 2010-06-22 |
Find all providers in zip 85257 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1699374702 | Valley Spinal Care Pain Relief, LLC | General Practice | 15425 N Greenway Hayden Loop Ste A200, Scottsdale, AZ 85260-1239 | 2020-10-20 |
1003302480 | Md Centers LLC | General Practice | 7814 N Via De La Montana, Scottsdale, AZ 85258-3303 | 2018-07-09 |
1871034439 | Md Health and Wellness LLC | General Practice | 14500 N Northsight Blvd Ste 100, Scottsdale, AZ 85260-3659 | 2017-03-15 |
1295130094 | Healthworks Med Group of Arizona PC | General Practice | 14321 N Northsight Blvd, Scottsdale, AZ 85260-3604 | 2014-10-23 |
1720482888 | Svelte LLC | General Practice | 17787 N Perimeter Dr Ste A107, Scottsdale, AZ 85255-5454 | 2014-10-20 |
1275817009 | Phonemd, Pllc | General Practice | 4111 N Drinkwater Blvd, Apt. F210, Scottsdale, AZ 85251-3647 | 2011-09-28 |
1821303520 | Craig Sherman | General Practice | 16416 N 92nd St Ste 125, Scottsdale, AZ 85260-3062 | 2010-08-18 |
1427371608 | Ray Frederick Rhodes | General Practice | 8412 E. Shea Blvd., Suite 101, Scottsdale, AZ 85260 | 2010-03-02 |
1184957474 | Thnb, LLC | General Practice | 11000 N Scottsdale Rd., Suite 200, Scottsdale, AZ 85254-6130 | 2009-09-17 |
1972737906 | Robert Brock Skipton Md | General Practice | 9625 N. 83rd. Way, Scottsdale, AZ 85258 | 2009-05-05 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85257 |
Please comment or provide details below to improve the information on FAMILY MEDICAL WALK IN CENTER PC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.