Jerrelle M Copeland (NPI# 1790784643, PAC ID# 5193746444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790784643 |
| PAC ID by PECOS | 5193746444 |
| Professional Enrollment ID | I20051214000283 |
| Full Name | Jerrelle M Copeland |
| Address |
6788 S Kings Ranch Rd Suite 1 Gold Canyon AZ 85118-2928 |
| Gender | F |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| 030119 | MERCY GILBERT MEDICAL CENTER |
| 030122 | BANNER GATEWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6788 S Kings Ranch Rd, Suite 1, Gold Canyon, AZ 85118-2928 |
| Street Address |
6788 S KINGS RANCH RD SUITE 1 |
| City | GOLD CANYON |
| State | AZ |
| Zip | 85118-2928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Renee Bagby | Physical Therapy | Foothills Sports Medicine and Rehabilitation- Gold Canyon LLC | 6788 S Kings Ranch Rd, Suite 4, Gold Canyon, AZ 85118-2928 |
| Wayne R Foley | Physical Therapy | Foothills Sports Medicine and Rehabilitation- Gold Canyon LLC | 6788 S Kings Ranch Rd, Suite 4, Gold Canyon, AZ 85118-2928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chikwendu C Nwosu | Internal Medicine | Stripes Urgent Care LLC | 6820 S Kings Ranch Rd, Suite 130, Gold Canyon, AZ 85118-2959 |
| Daniel Ballard | Physician Assistant | Stripes Urgent Care LLC | 6820 S Kings Ranch Rd, Suite 130, Gold Canyon, AZ 85118-2959 |
| Garrett Christopher Spann | Undefined Physician Type (specify) | Chikwendu C Nwosu Md LLC | 6820 S Kings Ranch Rd, Suite 130, Gold Canyon, AZ 85118-2959 |
| Edward J Bodmer | Podiatry | 6820 S Kings Ranch Rd, Suite 130, Gold Canyon, AZ 85118-2959 | |
| Sharon Caburatan Caterial | Nurse Practitioner | Chikwendu C Nwosu Md LLC | 6820 S Kings Ranch Rd, Suite 130, Gold Canyon, AZ 85118-2959 |
| Jennifer K Balbarin | Physical Therapy | Vitality Physical Therapy and Wellness Inc | 6804 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2960 |
| Michael Z Balbarin | Physical Therapy | Vitality Physical Therapy and Wellness Inc | 6804 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2960 |
| Michelle Cornwell | Physical Therapy | Vitality Physical Therapy and Wellness Inc | 6804 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2960 |
| Pawel T Zymek | Cardiac Electrophysiology | 6740 S Kings Ranch Rd, Suite 103, Gold Canyon, AZ 85118-2961 | |
| Zelalem Yilma | Cardiovascular Disease (cardiology) | 6740 Skings Ranch Rd, Suite 102, Gold Canyon, AZ 85118-2961 | |
| Find all physicians in zip 85118 | |||
| City | GOLD CANYON |
| Zip Code | 85118 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GOLD CANYON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jerrelle M Copeland.
| 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.