WALTER E KOPPENBRINK MD LTD (NPI# 1588812028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588812028 |
| Entity Type | Organization |
| Organization Name | WALTER E KOPPENBRINK MD LTD |
| Other Organization Name | KOPPENBRINK INTERNAL MEDICINE |
| Practice Address |
4350 E Camelback Rd Ste F-100 Phoenix AZ 85018-2701 |
| Practice Telephone | 6029558700 |
| Practice Fax Number | 6025538142 |
| Mailing Telephone | 6029558700 |
| Mailing Fax Number | 6025538142 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | JOAN KOPPENBRINK (PRACTICE MANAGER/CORP SEC) |
| Authorized Official Telephone | 6022284051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11324 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
11324 | AZ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Koppenbrink Internal Medicine | Doing Business As Name - Organization |
| Street Address |
4350 E CAMELBACK RD STE F-100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245218080 | Ethan Bindelglas | Family Medicine | 4350 E Camelback Rd, Suite G120, Phoenix, AZ 85018-2701 | 2006-01-03 |
| 1023592953 | Evan J Norwil | Physician Assistant | 4350 E Camelback Rd, Suite G100, Phoenix, AZ 85018-8312 | 2018-09-17 |
| 1538530779 | Arcadia Physicians Travel Clinic | Specialist | 4350 E Camelback Rd, Suite F-100, Phoenix, AZ 85018-2701 | 2015-10-14 |
| 1760801369 | Catherine Oneill | Nurse Practitioner | 4350 E Camelback Rd, Suite F-100, Phoenix, AZ 85018-2701 | 2014-04-10 |
| 1851690226 | Sandra Denise Ekeinde | Psychologist | 4350 E Camelback Rd, Suite B210, Phoenix, AZ 85018-2701 | 2011-03-23 |
| 1588961718 | Eileen Helen Klecka | Registered Nurse | 4350 E Camelback Rd, F100, Phoenix, AZ 85018-2701 | 2011-02-24 |
| 1982939419 | Arcadia Foot & Ankle PC | Podiatrist | 4350 E Camelback Rd, Suite B115, Phoenix, AZ 85018-2701 | 2009-10-16 |
| 1518191113 | Focus Care of Arizona LLC | Home Health | 4350 E Camelback Rd, Suite A110, Phoenix, AZ 85018-2701 | 2009-05-11 |
| 1649421306 | Jennifer Renae Francyk | Physician Assistant | 4350 E Camelback Rd, Suite F-100, Phoenix, AZ 85018-2701 | 2008-09-30 |
| 1194980367 | Tyler John Southwell | Family Medicine | 4350 E Camelback Rd, Suite F-100, Phoenix, AZ 85018-2701 | 2008-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1447763602 | Desert Gastroenterology Pllc | Internal Medicine | 20430 N 19th Ave Ste B-150, Phoenix, AZ 85027-3588 | 2017-11-09 |
| 1528292125 | Jcl Gastroenterology, LLC | Internal Medicine | 9237 N. 3rd Street, Suite 202, Phoenix, AZ 85020-0000 | 2009-05-11 |
| 1467696757 | Jcl Gastroenterology, LLC | Internal Medicine | 19646 N. 27th Ave., Suite201, Phoenix, AZ 85027-0000 | 2009-04-30 |
| 1992981583 | Arizona Digestive Health, PC | Internal Medicine | 3020 E Camelback Rd, Suite 301, Phoenix, AZ 85016-4417 | 2008-01-14 |
| 1508969122 | Vincent J Honan Md PC | Internal Medicine | 1300 12th Str, #518, Phoenix, AZ 85006-2849 | 2006-09-07 |
| 1649381922 | Associated Billing Services, Inc | Internal Medicine | 13430 N Black Canyon Hwy, Suite 100, Phoenix, AZ 85029-1310 | 2006-08-31 |
| 1619081577 | Bassel Al-lahham | Internal Medicine | 19636 N 27th Ave Ste 408, Phoenix, AZ 85027 | 2006-08-18 |
| 1700898590 | James R Spivey | Internal Medicine | 500 W Thomas Rd Ste 100, Phoenix, AZ 85013-4255 | 2006-08-12 |
| 1790739266 | Masud S Shaukat | Internal Medicine | 2401 E Luke Ave, Phoenix, AZ 85016-2808 | 2006-05-20 |
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| 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.