EDWIN C LOPEZ (NPI# 1649363706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649363706 |
| Entity Type | Individual |
| Full Name | EDWIN C LOPEZ |
| Credential | M.D. |
| Practice Address |
1717 S J St Tacoma WA 98405-4933 |
| Practice Telephone | 2534266341 |
| Practice Fax Number | 2534266344 |
| Mailing Telephone | 2534266341 |
| Mailing Fax Number | 2534266344 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | PA10000864 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE CRIME VICTIMS | 8902557 | 01 |
| WA | 8575201 | 05 | |
| WA | MEDICARE RAILROAD | 970007234 | 01 |
| WA | STATE L&I | 0127911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164920807 | Edwin Bannacek Lopez | General Practice | 316 Calle Palmeras, Cidra, PR 00739-8400 | 2018-01-29 |
| 1801262209 | Edwin Lopez | Counselor | 3601 Johnson Ave Apt 1g, Bronx, NY 10463-1668 | 2015-08-19 |
| 1598904914 | Edwin Miguel Lopez | Psychologist | Urb. Bairoa 32a Street, Bloq. Aj1, Caguas, PR 00725-0000 | 2009-02-09 |
| 1578778932 | Edwin Lopez I | Rehabilitation Hospital | Carr. # 2 B.o. Juan Sanchez, Bayamon, PR 00959-5139 | 2007-05-11 |
| 1306456876 | Edwin Efren Lopez | Physical Therapist | 821 N Nellis Blvd Ste 130, Las Vegas, NV 89110-5387 | 2020-08-08 |
| 1538783931 | Edwin Lopez | Behavior Technician | 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 | 2020-06-01 |
| 1598322174 | Edwin Rodrigo Lopez | Case Manager/Care Coordinator | 2523 W 7th St, Los Angeles, CA 90057-3801 | 2019-05-20 |
| 1295286557 | Edwin Lopez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905 | 2016-10-20 |
| 1902013576 | Edwin F Lopez | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2007-05-16 |
| 1942306121 | Edwin Jose Lopez | Occupational Therapist | 2800 S Fort Ave, Springfield, MO 65807-3480 | 2006-09-15 |
| Street Address |
1717 S J ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309098 | Franciscan Health System | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2005-07-12 |
| 1942814553 | Cydnee Dufenhorst | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4933 | 2020-09-01 |
| 1376156216 | Peter Jorgenson | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4944 | 2020-08-29 |
| 1134741143 | Rainier Pm&r Inc | Physical Medicine & Rehabilitation | 1717 S J St, Tacoma, WA 98405-4933 | 2020-05-13 |
| 1710515978 | Karen Elizabeth Schobert | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2020-03-31 |
| 1053944108 | Nathaniel Ott | Registered Nurse | 1717 S J St, Tacoma, WA 98405-4933 | 2020-02-18 |
| 1932757457 | Dana Alexander Pirolo | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-08-28 |
| 1710539895 | Irina V Zhelez | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-07-09 |
| 1346801818 | Hannah Eunice Baja Esmeralda | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-06-25 |
| 1134786981 | Susanne Clark | Student in an Organized Health Care Education/Training Program | 1717 S J St, Tacoma, WA 98405-4933 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1417441189 | Iora Senior Health, Inc | Internal Medicine | 5006 Center St Ste R, Tacoma, WA 98409-2314 | 2018-06-18 |
| 1023525698 | Comprehensive Postacute Care Pllc | Internal Medicine | 1724 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3480 | 2018-01-04 |
| 1972034494 | Brian Hagan | Internal Medicine | 1717 S. J. Street, Suite 336, S. Pavilion, Ms 01-30, Tacoma, WA 98405 | 2017-03-26 |
| 1184967242 | Jerry Hu | Internal Medicine | 415 6th Ave Unit 505, Tacoma, WA 98402-2310 | 2013-03-27 |
| 1639426232 | Desiree Marie Lehmann | Internal Medicine | 1717 S J St # Ms 01-36, Tacoma, WA 98405-4933 | 2012-08-14 |
| 1720344617 | Don Nguyen | Internal Medicine | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402 | 2012-04-05 |
| 1437445855 | Alexander A Divin | Internal Medicine | 1717 South J Street Suite 336, South Pavillion, Ms 01-30, Tacoma, WA 98405 | 2011-06-23 |
| Find all providers in TACOMA | ||||
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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.