MR. ANTONIO LOPEZ (NPI# 1083820203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083820203 |
| Entity Type | Individual |
| Full Name | MR. ANTONIO LOPEZ |
| Other Name | MISS ANTONIO LOPEZ CASTANEDA |
| Credential | B.A. PSYCHOLOGY |
| Practice Address |
5635 W Fort St Detroit MI 48209-3154 |
| Mailing Address |
1525 Clark St Detroit MI 48209-2136 |
| Practice Telephone | 3138493920 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 163W00000X | Registered Nurse | 4704289261 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427483130 | Antonio J Lopez | Physician Assistant | 124 Barnes Ct, Gretna, LA 70056-8635 | 2013-09-12 |
| 1952623597 | Antonio Lopez | Clinic/Center | 733 85th St, Miami Beach, FL 33141-1109 | 2010-02-24 |
| 1558922567 | Antonio Lopez | Internal Medicine | 1627 Chew St # 101, Allentown, PA 18102-3648 | 2019-06-21 |
| 1598298226 | Antonio Lopez | Internal Medicine | 900 S Limestone Ctw 304, Lexington, KY 40536 | 2017-04-10 |
| 1952856767 | Antonio Lopez | Counselor | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2016-08-22 |
| 1407073091 | Antonio Lopez | Rehabilitation Practitioner | 118 S Oak Knoll Ave, Pasadena, CA 91101-2611 | 2007-04-18 |
| 1194749317 | Antonio Lopez | Dentist | 1018 N High St, Millville, NJ 08332-2527 | 2006-07-27 |
| 1063492536 | Antonio D.s. Lopez | Specialist | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2006-01-19 |
| Street Address |
5635 W FORT ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795165 | Felix Mario Valbuena Jr. | Family Medicine | 5635 W Fort St, Detroit, MI 48209-3154 | 2005-10-27 |
| 1336746270 | Holly Ferguson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-10-05 |
| 1578185211 | Matthew S Ellison | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-05-16 |
| 1538708276 | Christopher Sanjurjo Montalvo | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-28 |
| 1124667019 | Daniela Lopez | Counselor | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-26 |
| 1548733629 | Maryrose Benson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
| 1568935633 | Sharon Almonte | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
| 1962973784 | Luis Felipe Cebas | Social Worker | 5635 W Fort St, Detroit, MI 48209-3154 | 2018-12-06 |
| 1932611761 | Sherry Lynn Ismail | Registered Nurse | 5635 W Fort St, Detroit, MI 48209-3154 | 2017-11-02 |
| 1992223507 | Jaribeth Disla | Counselor | 5635 W Fort St, Detroit, MI 48209 | 2017-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417783 | Tawana Danielle Williams | Registered Nurse | 866 Blaine St, Detroit, MI 48202-1938 | 2020-11-08 |
| 1528684099 | Barbara Ann Bracey | Registered Nurse | 6309 Mack Ave # 48207, Detroit, MI 48207-2302 | 2020-06-22 |
| 1891325049 | Karen Elizabeth Lacombe | Registered Nurse | 2925 Russell Street, Detroit, MI 48207-4825 | 2020-01-16 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1588220222 | John S Inthavongsa | Registered Nurse | 454 W Alexandrine St Apt 18, Detroit, MI 48201-1787 | 2019-05-17 |
| 1578036083 | Prevention Safe | Registered Nurse | 15429 Appoline St, Detroit, MI 48227-4007 | 2019-01-07 |
| 1831669175 | Amber Lenay Burnett | Registered Nurse | 19650 Telegraph Rd, Detroit, MI 48219-1624 | 2018-11-29 |
| 1285117085 | Kenyata Hamilton-carter | Registered Nurse | 8136 Sirron St, Detroit, MI 48234-3314 | 2018-09-08 |
| 1003309063 | Marquita Outlaw | Registered Nurse | 8290 Coyle St, Detroit, MI 48228 | 2018-06-13 |
| 1558850768 | Doshaun Rene Edwards | Registered Nurse | 16151 Meyers Rd, Detroit, MI 48235-4108 | 2018-05-02 |
| Find all providers in DETROIT | ||||
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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.