GERARDO C LOPEZ (NPI# 1174575484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174575484 |
| Entity Type | Individual |
| Full Name | GERARDO C LOPEZ |
| Credential | M.D. |
| Practice Address |
527 Medical Park Dr Ste 304 Bridgeport WV 26330 |
| Mailing Address |
527 Medical Park Dr Ste 304 Bridgeport WV 26330-9010 |
| Practice Telephone | (304) 933-3830 |
| Practice Fax Number | 3049333837 |
| Mailing Telephone | 3049333830 |
| Mailing Fax Number | 3049333837 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
17559 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BLUE CROSS BLUE SHEILD | 001720850 | 01 |
| WV | HEALTH PLAN | WV17559A | 01 |
| WV | 0081763000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 527 Medical Park Dr, Ste 306, Bridgeport, WV 263309008 | 3049333830 | 3049333837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084031 | Gerardo Lopez | Pediatrics | 4764 E State Road 64, Bradenton, FL 34208-9058 | 2005-06-22 |
| 1518586908 | Gerardo Lopez | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103 | 2020-04-15 |
| 1932489895 | Gerardo Lopez | Pharmacist | 955 N White Sands Blvd, Alamogordo, NM 88310-6925 | 2011-08-24 |
| 1184924581 | Gerardo Vargas Lopez | Counselor | 220 N Locust St, Visalia, CA 93291-4946 | 2010-11-01 |
| 1558337543 | Gerardo Dejesus Lopez | Obstetrics & Gynecology | 79 Route 37 W, Ste 101, Toms River, NJ 08755-9998 | 2006-02-28 |
| 1174522106 | Gerardo M Lopez | Radiology | 700 Village Dr, Fairmont, WV 26554-7985 | 2005-07-20 |
| Street Address |
527 MEDICAL PARK DR STE 304 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376595702 | David H Church | Internal Medicine | 527 Medical Park Dr Ste 304, Bridgeport, WV 26330 | 2006-05-16 |
| 1174056253 | Melissa Roy | Nurse Practitioner | 527 Medical Park Dr Ste 304, Bridgeport, WV 26330-9010 | 2017-04-06 |
| 1588912257 | Ashley Marie Nestor | Physician Assistant | 527 Medical Park Dr Ste 304, Bridgeport, WV 26330-9010 | 2012-08-28 |
| 1093987349 | Trina Gale Nestor | Physician Assistant | 527 Medical Park Dr Ste 304, Bridgeport, WV 26330 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1033367743 | Mobile Cv Imaging, LLC | Internal Medicine | 136 Grovers Ave, Bridgeport, CT 06605-3536 | 2008-09-05 |
| 1073680393 | Abdul Rahim Khan | Internal Medicine | 285 Anton Dr, Bridgeport, CT 06606-1748 | 2006-11-30 |
| 1376595702 | David H Church | Internal Medicine | 527 Medical Park Dr Ste 304, Bridgeport, WV 26330 | 2006-05-16 |
| 1760440663 | Harry Bishop | Internal Medicine | 147 W Main St, Bridgeport, WV 26330-1866 | 2006-05-02 |
| 1598761512 | Joseph A Rose | Internal Medicine | 2979 Main St, Bridgeport, CT 06606-4252 | 2005-06-23 |
| 1437780020 | Poudre Valley Medical Group, LLC | Internal Medicine | 1313 S St, Bridgeport, NE 69336-2563 | 2020-02-01 |
| 1144731464 | Heart Health Clinic Pllc | Internal Medicine | 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-2061 | 2017-10-13 |
| 1750768149 | Clarksburg Cardiovascular Pllc | Internal Medicine | 527 Medical Park Dr, Ste 306-a, Bridgeport, WV 26330-9008 | 2015-05-05 |
| 1699909432 | Anja Wagner | Internal Medicine | 2979 Main St, Bridgeport, CT 06606-4284 | 2009-05-07 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on GERARDO C LOPEZ.
| 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.