JUANITA C LOPEZ (NPI# 1194855817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194855817 |
| Entity Type | Individual |
| Full Name | JUANITA C LOPEZ |
| Credential | PA |
| Practice Address |
720 Golder Ave Odessa TX 79761-4442 |
| Practice Telephone | 4323373117 |
| Practice Fax Number | 4323373448 |
| Mailing Telephone | 4323373117 |
| Mailing Fax Number | 4323373448 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | PA03700 | TX | Other Service Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718103 | Juanita Marissa Lopez | Counselor | 6200 S. Mooney Blvd., Visalia, CA 93277 | 2017-09-06 |
| 1194087692 | Juanita Dolores Lopez | Counselor | 4851 Independence St., Suite 200, Wheatridge, CO 80033-6715 | 2012-06-11 |
| 1316091564 | Juanita Lopez | Dietitian, Registered | 1002 N Fairview St, Santa Ana, CA 92703-1811 | 2007-01-23 |
| 1366519225 | Juanita Lopez | Family Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| Street Address |
720 GOLDER AVE |
| City | ODESSA |
| State | TX |
| Zip Code | 79761-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441428 | Fernando Boccalandro | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 1255986402 | Alexandra R Fierro | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-08-05 |
| 1487119426 | Kailea D Walker | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-02-04 |
| 1265769004 | Araceli Romero | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2009-11-16 |
| 1700061736 | Tejas P Patel | Internal Medicine | 720 Golder Ave, Odessa, TX 79761-4442 | 2008-01-09 |
| 1821131855 | Odessa Heart Institute | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2007-02-15 |
| 1578503231 | Ma Ellen Novicio | Nurse Practitioner | 720 Golder Ave, Odessa, TX 79761-4442 | 2006-06-08 |
| 1659361970 | Zoila Reyna Barrera | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-27 |
| 1124017173 | Sudhir Amaram | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| 1023007085 | Manohar Angirekula | Specialist | 720 Golder Ave, Odessa, TX 79761-4442 | 2005-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| Find all providers in zip 79761 | ||||
| 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 |
|---|---|---|---|---|
| 1891234969 | Jesus Mendez Fuentes | Physician Assistant | 2224 Alameda Ct, Odessa, TX 79763-2273 | 2017-02-22 |
| 1649640392 | Elesea Celeste Villegas | Physician Assistant | 701 West 5th Street, Odessa, TX 79763 | 2015-10-06 |
| 1184022758 | Md Moinul Islam | Physician Assistant | 6030 W. University, Odessa, TX 79764 | 2014-12-15 |
| 1962711200 | Ramnauth Robert Ramkissoon | Physician Assistant | 1940 E 42nd St Ste B, Odessa, TX 79762-5840 | 2010-10-05 |
| 1629304811 | Erika Alfaro Salvo | Physician Assistant | 4222 Wendover Ave Ste 600, Odessa, TX 79762-5983 | 2009-10-23 |
| 1508002262 | Javier E Espinoza | Physician Assistant | 1220 W. University, Odessa, TX 79763 | 2008-12-31 |
| 1679511802 | J David Barr | Physician Assistant | 16734 Ivy Lake Dr, Odessa, FL 33556-6020 | 2006-06-02 |
| 1275171423 | Kailani Alana Lee Decock | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-12-18 |
| 1255986402 | Alexandra R Fierro | Physician Assistant | 720 Golder Ave, Odessa, TX 79761-4442 | 2019-08-05 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| Find all providers in ODESSA | ||||
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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.