AMANDA R LOPEZ (NPI# 1043768658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043768658 |
| Entity Type | Individual |
| Full Name | AMANDA R LOPEZ |
| Credential | PA-C |
| Practice Address |
1513 Park Ave Fl 2 Columbus WI 53925-1793 |
| Practice Telephone | 9206239611 |
| Practice Fax Number | 9206231787 |
| Mailing Telephone | 9206239611 |
| Mailing Fax Number | 9206231787 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3871-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081727 | Amanda Lopez | Registered Nurse | 6933 Riverwalk Loop Apt 14, Denver, NC 28037-5048 | 2020-04-08 |
| 1881246403 | Amanda Kimberley Lopez | Marriage & Family Therapist | 380 S Melrose Dr Ste 208, Vista, CA 92081-6652 | 2019-07-13 |
| 1043874464 | Amanda Lopez | Contractor | 679 W Cholla Crest Dr, Green Valley, AZ 85614-5255 | 2019-05-01 |
| 1417488495 | Amanda Krystal Lopez | Chiropractor | 7528 4th St Nw Ste D, Los Ranchos, NM 87107-6683 | 2017-03-22 |
| 1104367598 | Amanda Mercedes Lopez | Occupational Therapy Assistant | 1555 W 44th Pl Apt 259, Hialeah, FL 33012-7840 | 2017-03-17 |
| 1023550860 | Amanda Lopez | Social Worker | 1032 Delaware St # B, Berkeley, CA 94710-2131 | 2016-11-10 |
| 1336754191 | Amanda Lynn Lopez | Behavior Technician | 8950 Sw 74th Ct Ste 2201, Miami, FL 33156-3181 | 2020-09-09 |
| 1568080703 | Amanda Lopez | Behavior Technician | 6004 Academy Rd Ne, Albuquerque, NM 87109-3306 | 2020-07-13 |
| 1184264830 | Amanda Lopez | Counselor | 5870 Arlington Ave, Riverside, CA 92504-2037 | 2020-01-10 |
| 1437618089 | Amanda Lopez | Behavior Technician | 8135 Painter Ave Ste 200, Whittier, CA 90602-3168 | 2019-03-13 |
| Street Address |
1513 PARK AVE FL 2 |
| City | COLUMBUS |
| State | WI |
| Zip Code | 53925-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275833659 | Beaver Dam Community Hosptials, Inc. | Family Medicine | 1580 W James St, Columbus, WI 53925 | 2010-11-01 |
| 1497972749 | Droessler Chiropractic Sc | Chiropractor | 1349 Park Avenue, Columbus, WI 53925 | 2007-04-19 |
| 1164487328 | Drs Beck & Becker Sc | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-04-19 |
| 1245864735 | Margaret Mary Frank | Pharmacist | 1500 W James St, Columbus, WI 53925 | 2020-02-24 |
| 1487094686 | Tiana M Imhoff | Physician Assistant | 1515 Park Ave, Columbus, WI 53925 | 2013-07-02 |
| 1821343401 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 200 Commerce Dr, Columbus, WI 53925 | 2012-07-19 |
| 1689987372 | Erin Renee Hills | Nurse Practitioner | 1515 Park Ave, Columbus, WI 53925 | 2010-07-22 |
| 1184723645 | James Michael Beck | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1194824649 | William James Becker | Dentist | 1505 Park Ave., Columbus, WI 53925 | 2006-09-21 |
| 1225004245 | Nazi S Khan | Internal Medicine | 1511 Park Ave, Columbus, WI 53925 | 2006-02-28 |
| Find all providers in zip 53925 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1336766310 | Mckenna Marie Wilson | Physician Assistant | 4752 Bentham Dr, Columbus, OH 43220-3204 | 2020-06-25 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.