Family Medical Walk in Center PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FAMILY MEDICAL WALK IN CENTER PC

Practice address

8102 E McDowell Rd
Suite 2a
Scottsdale, AZ 85257-3809

Phone

(602) 273-6770

Fax

(602) 889-0489

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Moreen Koppula, M.D.NPI 1316943194

Title

President / Owner

Phone

(602) 273-6770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moreen Koppula, M.D.

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1316943194
  NPD (past) Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1982884185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389211",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 E MCDOWELL RD",
            "address_2": "SUITE 2A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573809",
            "telephone_number": "602-273-6770",
            "fax_number": "602-889-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL WALK IN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "KOPPULA",
        "authorized_official_first_name": "MOREEN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "602-273-6770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Providers of Arizona PLLC
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• Family Eyecare Associates of Az PLC
• Family Eyecare of Scottsdale, PLC
• Family Mental Health Associates, LTD.
• Family Paths
• Family Practice Medicine PLLC
• Family Practice of Scottsdale
• Family Psychiatry of Arizona PLLC

• General Practice Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.