Theresa Koppal (NPI# 1033510508, PAC ID# 1557671047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033510508 |
| PAC ID by PECOS | 1557671047 |
| Professional Enrollment ID | I20151112003103 |
| Full Name | Theresa Koppal |
| Organization Legal Name | BANNER URGENT CARE ARIZONA LLC |
| Address |
1676 E Mcmurray Blvd Suite 1 Casa Grande AZ 85122-4798 |
| Phone Number | 5203160688 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678749496 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 | 5203160688 | BANNER URGENT CARE ARIZONA LLC |
| 3200 S Gilbert Rd, Chandler, AZ 85286-5107 | 4808275700 | BANNER URGENT CARE SERVICES LLC |
| 35945 N Gary Rd, San Tan Valley, AZ 85143-5748 | 4808275750 | BANNER URGENT CARE SERVICES LLC |
| 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 | 4808275760 | BANNER URGENT CARE SERVICES LLC |
| 10330 N Scottsdale Rd, Suite 25, Scottsdale, AZ 85253-1427 | 6022557625 | BANNER URGENT CARE SERVICES LLC |
| 6501 E Greenway Pkwy, Scottsdale, AZ 85254-2025 | 6022557640 | BANNER URGENT CARE SERVICES LLC |
| Organization Legal Name | BANNER URGENT CARE ARIZONA LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Buckwalter | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Rachael Hacke | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Elena M. Baskas | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Heidi Martinez | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Samia Kadri | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Elvira Quijas | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Jessica R Davis | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Valerie Miranda | Geriatric Medicine | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Rosemarie Z Sabijon | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Jann M Ford Petersen | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Street Address |
1676 E MCMURRAY BLVD SUITE 1 |
| City | CASA GRANDE |
| State | AZ |
| Zip | 85122-4798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Buckwalter | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Rachael Hacke | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Elena M. Baskas | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Heidi Martinez | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Samia Kadri | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Elvira Quijas | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Jessica R Davis | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Valerie Miranda | Geriatric Medicine | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Rosemarie Z Sabijon | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Jann M Ford Petersen | Nurse Practitioner | Banner Urgent Care Arizona LLC | 1676 E Mcmurray Blvd, Suite 1, Casa Grande, AZ 85122-4798 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie M King | Clinical Social Worker | 550 E Cottonwood Lane B, Casa Grande, AZ 85122 | |
| Paul E Rosete | Psychologist, Clinical | 1298 E Avenida Grande, Casa Grande, AZ 85122-1006 | |
| Brittany Dawn Silverman | Physician Assistant | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Joyce Kate Forest | Family Medicine | Az Dermatology LLC | 1821 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1705 |
| Kelly L Mullins | Nurse Practitioner | Community Intervention Associates Inc. | 1923 N Trekell Rd, Suite 101 102, Casa Grande, AZ 85122-1706 |
| Sangita B Patel | Nurse Practitioner | 1901 N Trekell Rd, Casa Grande, AZ 85122-1770 | |
| Sheri Steincamp | Registered Dietitian Or Nutrition Professional | 1895 N Trekell Rd, Suite 3, Casa Grande, AZ 85122-1774 | |
| Sean P Jenkins | Chiropractic | 1891 N Trekell Rd, Suite 2, Casa Grande, AZ 85122-1792 | |
| Khushali D Shah | Optometry | Matthew Littlejohn Od PC | 1968 N Pearl Rd, Suite 12, Casa Grande, AZ 85122-2023 |
| Matthew K Littlejohn | Optometry | Matthew Littlejohn Od PC | 653 E Cottonwood Ln, Casa Grande Vision Center, Casa Grande, AZ 85122-2023 |
| Find all physicians in zip 85122 | |||
| City | CASA GRANDE |
| Zip Code | 85122 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CASA GRANDE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Theresa Koppal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.