DR. EDGAR A. LOPEZ-SUESCUM (NPI# 1255837696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255837696 |
Entity Type | Individual |
Full Name | DR. EDGAR A. LOPEZ-SUESCUM |
Credential | M.D. |
Practice Address |
726 Zorn Ave Apt 1 Louisville KY 40206-1447 |
Practice Telephone | 5028918986 |
Mailing Telephone | 5028918986 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
18215 | KY | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 18215 | KY | Allopathic & Osteopathic Physicians |
N | 172V00000X | Community Health Worker | Other Service Providers | ||
N | 202C00000X | Independent Medical Examiner | 18215 | KY | Allopathic & Osteopathic Physicians |
Street Address |
726 ZORN AVE APT 1 |
City | LOUISVILLE |
State | KY |
Zip Code | 40206-1447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
1023547460 | Jeffrey Obiora | Student in an Organized Health Care Education/Training Program | 500 South Preston St, Room 305, Lousiville, KY 40206 | 2017-06-08 |
1053840710 | Mary Oliver Humke | Lactation Consultant, Non-RN | 155 N Galt Ave, Louisville, KY 40206 | 2017-06-07 |
1417304908 | James Edward Meffert Sr. | Dentist | 1618 Story Ave. (home/office Setting), Louisville, KY 40206 | 2016-05-16 |
1235516527 | Jara Nashelle Vega Velez | Internal Medicine | 800 Zorn Ave Dept Of, Louisville, KY 40206 | 2015-05-06 |
1184058885 | Reba D Ziller | Occupational Therapist | 4604 Lowe Road, Regis Woods Rehab Center, Louisville, KY 40206 | 2013-08-29 |
1407109176 | Jessica L Hoback | Physical Therapy Assistant | 2141 Sycamore Avenue, Louisville, KY 40206 | 2012-10-18 |
1598039315 | Mary Barbara Sowers | Emergency Medicine | 611 Emery Rd, Louisville, KY 40206 | 2012-02-24 |
1053628479 | Adrian J Pellegrini Md | Nurse Practitioner | 170 Crescent Ave, Louisville, KY 40206 | 2010-09-07 |
1518297761 | Kiley Nontell Mcneill | Behavioral Analyst | 1100 East Market St., Louisville, KY 40206 | 2010-01-12 |
Find all providers in zip 40206 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
1093717274 | Joseph C. Banis Jr. | Surgery | 2507 Bush Ridge Dr Ste B, Louisville, KY 40245-5885 | 2005-06-01 |
1982257077 | Saud A Alkabbaa | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-07-18 |
1194130948 | Katherine Mckenna Kottwitz | Surgery | 2341 Lime Kiln Ln, Louisville, KY 40222-3460 | 2014-06-30 |
1730501784 | University of Louisville Research Foundation | Surgery | 550 S Jackson St, Louisville, KY 40202-1622 | 2014-01-10 |
1245597293 | University of Louisville Physicians, Inc. | Surgery | 550 S Jackson St, 2nd Floor, Louisville, KY 40202-1622 | 2012-04-16 |
1154691707 | University of Louisville Physicians, Inc. | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40206 |
Please comment or provide details below to improve the information on DR. EDGAR A. LOPEZ-SUESCUM.
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.