ANTHONY DANIEL KOPP (NPI# 1750675716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750675716 |
| Entity Type | Individual |
| Full Name | ANTHONY DANIEL KOPP |
| Credential | DO |
| Practice Address |
12493 University Ave Ste 100 Clive IA 50325-8286 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5153589461 |
| Practice Fax Number | 5153589489 |
| Mailing Telephone | 5153589461 |
| Mailing Fax Number | 5153589489 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO-04706 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 6th Ave, East Tower, Suite B3, Des Moines, IA 503142613 | 5153580150 | 5153580149 |
| 12493 University Ave Ste 100, Clive, IA 503258286 | 5153580150 | 5153580149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287785 | Anthony David Kopp | Chiropractor | 22594 Concord Ave, Mattawan, MI 49071-9532 | 2020-02-15 |
| Street Address |
12493 UNIVERSITY AVE STE 100 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756486 | Jeffrey Allen Pederson | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2007-04-06 |
| 1306324553 | Kevin Patrick Mcvey | Pharmacist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2018-07-31 |
| 1376067892 | Cassie Ann Esdohr | Physician Assistant | 12493 University Ave Ste 100, Clive, IA 50325 | 2017-07-26 |
| 1861854374 | Matthew Robert Golish | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2016-03-23 |
| 1790140507 | Kevin Smith | Physical Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1144685025 | Nicole Kuhl | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-21 |
| 1124483110 | Karla Richards | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1558726463 | Andrea Nelson | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1073853461 | Mercy Clinics, Inc | Physical Medicine & Rehabilitation | 12493 University Ave Ste 100, Clive, IA 50325 | 2013-02-21 |
| 1013273143 | Blair Camille Runde | Chiropractor | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2012-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1780991430 | Victor Harry Kaylarian | Internal Medicine | 13551 Village Ct, Clive, IA 50325-8503 | 2010-09-01 |
| 1356577951 | Christopher James Mulder | Internal Medicine | 1378 Nw 124th St # 8151, Clive, IA 50325-8151 | 2009-06-09 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| 1699745760 | Rajalakshmi V Iyer | Internal Medicine | 1378 Nw 124th St, Clive, IA 50325-8151 | 2006-01-23 |
| 1871582809 | Valerie L Stratton | Internal Medicine | 1601 Nw 114th St Ste 151, Clive, IA 50325-7046 | 2005-10-21 |
| 1336377043 | Abdillahi Abdinoor | Internal Medicine | 1601 Nw 114th St Ste 342, Clive, IA 50325 | 2009-07-01 |
| 1285874362 | Farhoud Khosravi | Internal Medicine | 1601 Nw 114th St, Suite 342, Clive, IA 50325-7007 | 2009-03-02 |
| 1225207749 | Kerry J Canady | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2008-02-28 |
| 1548377344 | Laila Ismail | Internal Medicine | 1601 Nw 114th St, Suite 240, Clive, IA 50325-7007 | 2006-08-25 |
| 1114934767 | Patricia Overton-keary | Internal Medicine | 1601 Nw 114th St, Clive, IA 50325-7007 | 2006-08-02 |
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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.