FRED LEWIS LOPER (NPI# 1700903093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700903093 |
| Entity Type | Individual |
| Full Name | FRED LEWIS LOPER |
| Credential | M.D. |
| Practice Address |
2128 Nw 27th St Oklahoma City OK 73107-2514 |
| Practice Telephone | 4056647430 |
| Mailing Telephone | 4056647430 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12420 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
2128 NW 27TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73107-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747999 | Ellen Rose Pochyly | Counselor | 2617 General Pershing Boulevard, Oklahoma City, OK 73107 | 2017-08-23 |
| 1609399906 | Carrie Ann Moore | Counselor | 2617 General Pershing Blvd., Oklahoma City, OK 73107 | 2017-07-19 |
| 1821511320 | Diana Lynn Spencer | Counselor | 2617generalpershingblvd, Oklahoma City, OK 73107 | 2017-07-18 |
| 1861859514 | Catherine Evans | Counselor | 500 N Meridian Ave Ste 409, Oklahoma City, OK 73107 | 2016-01-26 |
| 1871964551 | Kizzy Frazier | Student in an Organized Health Care Education/Training Program | 1233 N Warren Pl, Oklahoma City, OK 73107 | 2015-10-07 |
| 1538550629 | Oklahoma Department of Mental Health and Substance Abuse | Case Management | 2625 General Pershing Boulevard, Oklahoma City, OK 73107 | 2015-02-10 |
| 1952702276 | Andale Healthcare, LLC | Clinic/Center | 2305 N. Meridian, Oklahoma City, OK 73107 | 2014-09-05 |
| 1114339348 | John Walls | Psychologist | 2012 North Villa Avenue, Oklahoma City, OK 73107 | 2014-05-22 |
| 1376970517 | Latrice Warrior | Community/Behavioral Health | 2625 General Pershing Drive, Oklahoma City, OK 73107 | 2013-10-02 |
| 1326485541 | Debra Sue Vaughan | Counselor | 2617 Genral Pershing Blvd, Oklahoma City, OK 73107 | 2013-05-29 |
| Find all providers in zip 73107 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1669726188 | Arrrc, Inc. | General Practice | 2149 S.w. 59th St., Suite 105, Oklahoma City, OK 73119-7003 | 2012-11-06 |
| 1386932986 | George Fred Mcdonnold | General Practice | 2973 Rolling Stone Rd, Oklahoma City, OK 73120-1921 | 2011-07-16 |
| 1770877151 | Michael Shane Johnson | General Practice | 13600 Prairie View Ln, Oklahoma City, OK 73142-5917 | 2011-06-03 |
| 1295027647 | Albert T Nguyen | General Practice | 2636 Sw 28th St, Oklahoma City, OK 73108-5823 | 2011-05-04 |
| 1538458047 | Healthfirst Physician Management | General Practice | 1111 N Dewey, Pre-op Clinic, Oklahoma City, OK 73103 | 2011-04-05 |
| 1114154960 | Joshua Alan Stevens | General Practice | 301 Nw 6th St, Ste 150, Oklahoma City, OK 73102-2823 | 2009-06-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73107 |
Please comment or provide details below to improve the information on FRED LEWIS LOPER.
| 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.