Theodore Michael Kopp (NPI# 1437348711, PAC ID# 6406025980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1437348711 |
| PAC ID by PECOS | 6406025980 |
| Professional Enrollment ID | I20110818000284 |
| Full Name | Theodore Michael Kopp |
| Organization Legal Name | KOPP MEDICAL LLC |
| Address |
820 S University Blvd Bldg 1 Suite 1b Mobile AL 36609-7858 |
| Phone Number | 2516335155 |
| Gender | M |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7012211626 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010090 | PROVIDENCE HOSPITAL |
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| 010100 | THOMAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 820 S University Blvd, Bldg 1 Suite 1b, Mobile, AL 36609-7858 | 2516335155 | KOPP MEDICAL LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KOPP MEDICAL LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley M Oliver | Physician Assistant | Kopp Medical LLC | 820 S University Blvd, Bldg 1 Suite 1b, Mobile, AL 36609-7858 |
| Kevin M Hites | Physician Assistant | Kopp Medical LLC | 820 S University Blvd, Bldg 1 Suite 1b, Mobile, AL 36609-7858 |
| Street Address |
820 S UNIVERSITY BLVD BLDG 1 SUITE 1B |
| City | MOBILE |
| State | AL |
| Zip | 36609-7858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harley M Oliver | Physician Assistant | Kopp Medical LLC | 820 S University Blvd, Bldg 1 Suite 1b, Mobile, AL 36609-7858 |
| Sarah Gail Williamson | Physical Therapy | Spine and Rehab Solutions, LLC | 820 S University Blvd, 1a, Mobile, AL 36609-7859 |
| Sharon B Young | Physical Therapy | Spine and Rehab Solutions, LLC | 820 S University Blvd, 1a, Mobile, AL 36609-7859 |
| Kevin M Hites | Physician Assistant | Kopp Medical LLC | 820 S University Blvd, Bldg 1 Suite 1b, Mobile, AL 36609-7858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elliott J Braun | Podiatry | 1371 Montlimar Dr, Mobile, AL 36609-1645 | |
| Alicia Todd | Nurse Practitioner | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Dedra Delphine Terry | Nurse Practitioner | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Chereta A Beverly | Nurse Practitioner | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Jason L Engeriser | Psychiatry | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Laurie Anne Crespo | Clinical Social Worker | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Richard S Sinclair | Psychiatry | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Tina I Baker | Clinical Social Worker | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Angelyne W Cook | Clinical Social Worker | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Kimberly J Wimberly | Clinical Social Worker | Altapointe Health Systems Inc. | 1015 Montlimar Dr, Mobile, AL 36609-1713 |
| Find all physicians in zip 36609 | |||
| City | MOBILE |
| Zip Code | 36609 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | MOBILE + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Theodore Michael Kopp.
| 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.