MR. MARTIN JOSE LOPEZ (NPI# 1871623876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871623876 |
| Entity Type | Individual |
| Full Name | MR. MARTIN JOSE LOPEZ |
| Credential | P.A. |
| Practice Address |
5304 N Road 68 Pasco WA 99301-9189 |
| Mailing Address |
6207 Cowlitz Ln Pasco WA 99301-6760 |
| Practice Telephone | 5095439300 |
| Mailing Telephone | 5095472607 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA10000117 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669517652 | Martin Lopez | Counselor | 2302 S Martin L King Jr Blvd, Fresno, CA 93706-4135 | 2007-02-20 |
| 1821589003 | Martin Gonzalo Lopez | Social Worker | 6900 Sw 80th St, Miami, FL 33143 | 2018-05-23 |
| 1538617022 | Martin Lopez | Counselor | 483 W Seed Farm Rd, Sacaton, AZ 85147-0001 | 2016-09-14 |
| 1780825687 | Martin Alejandro Lopez | Physical Therapist | 2108 S M St, Mcallen, TX 78503-1555 | 2009-03-23 |
| 1649455247 | Martin Lopez | Case Manager/Care Coordinator | 320 W Temple St, 9th Floor, Los Angeles, CA 90012-3208 | 2008-01-02 |
| 1013905942 | Martin J Lopez | Anesthesiology | 4525 S Klein Ave, Ste 900, Oklahoma City, OK 73109-3845 | 2005-10-13 |
| Street Address |
5304 N ROAD 68 |
| City | PASCO |
| State | WA |
| Zip Code | 99301-9189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269378 | Robert Charles Shirey | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-9189 | 2006-09-22 |
| 1487136339 | Tri-cities Laboratory LLC | Clinical Medical Laboratory | 5304 N Road 68, Pasco, WA 99301-8078 | 2018-09-06 |
| 1922586320 | Caitlyn Mae Free Uhnak | Nurse Practitioner | 5304 N Road 68, Pasco, WA 99301-8078 | 2018-07-30 |
| 1639503774 | Our Lady of Lourdes Hospital At Pasco | Radiology | 5304 N Road 68, Pasco, WA 99301-9189 | 2013-08-26 |
| 1760736177 | Tobias M Lopez | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-8078 | 2012-11-07 |
| 1407009418 | Nichoelle Renee Wall | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-8078 | 2008-11-04 |
| 1104093368 | Our Lady of Lourdes Health Center | Clinic/Center | 5304 N Road 68, Pasco, WA 99301-9189 | 2008-05-15 |
| 1346440302 | Hosain Beckmohamadi | Internal Medicine | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-07-18 |
| 1366574196 | William Henry Hanson | Podiatrist | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-03-09 |
| 1144359571 | Raymond Edward Kania | Family Medicine | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485773 | J Kelsey Jackson | Physician Assistant | 520 N 4th Ave, Pulmonary Svcs, Pasco, WA 99301-5257 | 2005-08-25 |
| 1760736177 | Tobias M Lopez | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-8078 | 2012-11-07 |
| 1295015527 | Zandra Magali Melchor | Physician Assistant | 9605 Sandifur Pkwy, Pasco, WA 99301 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
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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.