| Theresa M Topp, CNP | |
| 
					3535 Pentagon Blvd, Beavercreek, OH 45431-1705  | |
| (937) 702-4154 | |
| Not Available | 
| Full Name | Theresa M Topp | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3535 Pentagon Blvd, Beavercreek, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609314566 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.019420 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.019420 (Ohio) | Primary | 
| Entity Name | Kettering Independent Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Theresa M Topp, CNP 5017 Ackerman Blvd, Kettering, OH 45429-5647 Ph: (937) 477-8085  | Theresa M Topp, CNP 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 702-4154  | 
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103  | |
Brandy L Mullett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd # 1157, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459  | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623  | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280  | |
Ellen K Ratay, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060  | |
Laura Busteed,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270  | |
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067  |