NELSON LOPEZ MD PA (NPI# 1417135997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417135997 |
| Entity Type | Organization |
| Organization Name | NELSON LOPEZ MD PA |
| Other Organization Name | NELSON LOPEZ MD |
| Practice Address |
2609 W Woolbright Rd Suite 5 Boynton Beach FL 33436-6634 |
| Practice Telephone | 5617344535 |
| Practice Fax Number | 5617347530 |
| Mailing Telephone | 5617344535 |
| Mailing Fax Number | 5617347530 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | NELSON LOPEZ (PHYSICIAN) |
| Authorized Official Telephone | 5617344535 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME0027191 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PROVIDER | K1646 | 01 |
| Other Name | Type Code |
|---|---|
| NELSON LOPEZ MD | Other Name - Individual/Organization |
| Street Address |
2609 W WOOLBRIGHT RD SUITE 5 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-6634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376509711 | Boynton Sport and Back Physical Therapy | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-25 |
| 1588910228 | Boynton Physicians Group LLC | Internal Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2012-07-31 |
| 1134421589 | Edgar Ibanez Md, Pa | Internal Medicine | 2609 W Woolbright Rd, Ste 4c, Boynton Beach, FL 33436-6634 | 2010-11-17 |
| 1073667689 | Gregory Scott Weatherford | Family Medicine | 2609 W Woolbright Rd, Suite 1, Boynton Beach, FL 33436-6634 | 2007-01-22 |
| 1174604219 | Jonathan Shochat | Orthotist | 2609 W Woolbright Rd, Suite 3a, Boynton Beach, FL 33436-6634 | 2006-10-17 |
| 1164522090 | Franz Hugo Nelson Lopez Padilla | Family Medicine | 2609 W Woolbright Rd, Suite 5, Boynton Beach, FL 33436-6634 | 2006-09-22 |
| 1902825730 | Edgar Ibanez | Specialist | 2609 W Woolbright Rd, Ste 4 C, Boynton Beach, FL 33436-6634 | 2006-07-19 |
| 1003873407 | James Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-28 |
| 1003873514 | Abby Franco | Physical Therapist | 2609 W Woolbright Rd, Suite 4a, Boynton Beach, FL 33436-6634 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194807206 | Maryelizabeth Anne Roth | Family Medicine | 2623 S Seacrest Blvd, Suite 65, Boynton Beach, FL 33435-7501 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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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.