Walter B Koppel PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D15538 Issued in MD

Legal business name

WALTER B KOPPEL PC

Practice address

8501 Lasalle Rd
Suite #202
Towson, MD 21286-5914

Phone

(443) 279-0330

Fax

(443) 279-0334

NPI assigned

Sep 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter B Koppel, M.D.

Title

Direct Owner

Phone

(443) 279-0330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1003125733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE #202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "443-279-0330",
            "fax_number": "443-279-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE #202",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "443-279-0330",
            "fax_number": "443-279-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER B KOPPEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "443-279-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D15538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnelle Wallace
• Stephanie Louise Wallace
• Ashley Waller, LGPC
• Morolayo Olajumoke Waller, CNM
• Philip Douglas Walls, M.D.
• Walter R. Welzant MD PA
• Amanda Walters, M.S., CCC-SLP
• Jamie Beth Walters, M.D.
• David Lawrence Waltos, MD
• Eleanor K Wang, P.T.

• Internal Medicine Physician in Towson, MD
• Providers in Towson, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.