DR. JUAN MANUEL LOPEZ (NPI# 1053473504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053473504 |
| Entity Type | Individual |
| Full Name | DR. JUAN MANUEL LOPEZ |
| Credential | MD |
| Practice Address |
3675 J Dewey Gray Cir Ste 300 Augusta GA 30909-1868 |
| Mailing Address |
Po Box 3726 Augusta GA 30914-3726 |
| Practice Telephone | 7068639595 |
| Practice Fax Number | 7068688375 |
| Mailing Telephone | 7068639595 |
| Mailing Fax Number | 7068688375 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | ME74668 | FL | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 74518 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034377 | Juan Moises Lopez | Counselor | 615 E Rogers Rd, Edinburg, TX 78541-8264 | 2019-07-02 |
| 1316403637 | Juan Jose Lopez Sr. | Driver | 16138 Eucalyptus Ave Apt 2, Bellflower, CA 90706-4786 | 2019-02-11 |
| 1255808432 | Juan Miguel Lopez | Home Delivered Meals | 953 E Sahara Ave Ste A1, Las Vegas, NV 89104-3028 | 2018-10-25 |
| 1245657139 | Juan A Lopez | Counselor | 1600 Sw 78th Ave Apt 526, Plantation, FL 33324 | 2014-03-28 |
| 1326477134 | Juan Jose Lopez | Registered Nurse | 5336 N 19th Ave, Phoenix, AZ 85015-2944 | 2013-11-02 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1205151339 | Juan Ruben Lopez Jr. | Occupational Therapist | 2790 N Academy Blvd Ste 227, Colorado Springs, CO 80917-5338 | 2010-03-31 |
| 1831329747 | Juan A Lopez | Technician/Technologist | Calle56 2m57 Urbmetropolis, Carolina, PR 00987 | 2009-07-27 |
| 1821231671 | Juan J Lopez | Technician/Technologist | 5207 W 24th Ave, Hialeah, FL 33016-4007 | 2009-04-09 |
| 1225231046 | Juan R Lopez | Dentist | 6941 W Gore Blvd, Lawton, OK 73505-5311 | 2007-06-08 |
| Street Address |
3675 J DEWEY GRAY CIR STE 300 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659364354 | Heather D Reger | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2005-08-26 |
| 1336754134 | Kellie Elizabeth Pitts | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2020-09-09 |
| 1598374894 | Ashton Leigh Stallings | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2020-07-23 |
| 1578113072 | Michelle Nye | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2019-09-17 |
| 1033764634 | Halie Curry | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2019-08-09 |
| 1114589298 | Gary Foley | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2019-06-28 |
| 1235794751 | Sheila Sonnenberg | Nurse Practitioner | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2019-05-09 |
| 1700369832 | Julia Depuy | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2018-09-14 |
| 1154804284 | Rachel Steyer | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2018-09-14 |
| 1518484047 | Melissa Kay Whitlow | Physician Assistant | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892705 | Muamer Mirza Mujadzic | Plastic Surgery | 3547 Interlachen Dr, Augusta, GA 30907-9528 | 2016-06-16 |
| 1972711844 | Nicholas Jones | Plastic Surgery | 1467 Harper St, Hb 5040, Augusta, GA 30901-2600 | 2007-05-21 |
| 1346301231 | Robert Charles Dinsmore | Plastic Surgery | Georgia Regents University Plastic Surgery, 1467 Harper Street, Hb5040, Augusta, GA 30912-0004 | 2006-12-13 |
| 1306853916 | Gerald J Khachi | Plastic Surgery | 1467 Harper Street, Augusta, GA 30912 | 2006-08-03 |
| 1710249966 | Gary Williamson, M.d., P.C. | Plastic Surgery | 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904-4887 | 2012-06-13 |
| 1285898247 | Mouchammed Agko | Plastic Surgery | 1120 15th St, Augusta, GA 30912-2570 | 2008-07-17 |
| 1184807679 | Kenna S. Given, Md PC | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2007-12-07 |
| 1851411490 | Plastic and Reconstructive Surgery PC | Plastic Surgery | 1433 Stovall St, Augusta, GA 30904-4883 | 2007-03-29 |
| 1982793378 | Edmond F. Ritter | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-10-12 |
| 1538270210 | Jack C Yu | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-31 |
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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.