DR. ENRIQUE C. LOPEZ III (NPI# 1891768941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891768941 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE C. LOPEZ III |
| Credential | MD |
| Practice Address |
3960 Patient Care Way Suite 108 Lansing MI 48911-4275 |
| Mailing Address |
3960 Patient Care Drive Suite 108 Lansing MI 48911-4276 |
| Practice Telephone | 5173948589 |
| Practice Fax Number | 5173948594 |
| Mailing Telephone | 5173948589 |
| Mailing Fax Number | 5173948594 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301048273 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0331009 | 01 |
| MI | 3253143 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992846935 | Enrique Lopez | Technician/Technologist | 1740 Palm Ave Ste 4, Hialeah, FL 33010-2673 | 2007-02-11 |
| 1578572087 | Enrique Sion Lopez | Pediatrics | 5002 W Glendale Ave Ste 104, Glendale, AZ 85301 | 2006-08-05 |
| 1497737738 | Enrique Lopez | Clinical Neuropsychologist | 4572 Alla Rd, Los Angeles, CA 90066-6490 | 2005-11-14 |
| 1982171815 | Enrique Lopez | Case Manager/Care Coordinator | 3843 W 63rd St, Chicago, IL 60629-4623 | 2018-10-29 |
| 1023519873 | Enrique R Lopez | Behavioral Analyst | 102 Westlake Dr, West Lake Hills, TX 78746-5394 | 2018-02-27 |
| 1205267739 | Enrique J Lopez | Physical Therapist | 6850 Brockton Ave, Suite 212, Riverside, CA 92506-3808 | 2013-12-10 |
| 1003046525 | Enrique Patrick Lopez | Surgery | 417 W 3rd Ave, Albany, GA 31701-1943 | 2009-07-17 |
| Street Address |
3960 PATIENT CARE WAY SUITE 108 |
| City | LANSING |
| State | MI |
| Zip Code | 48911-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203645 | Ghiulser Selim | Family Medicine | 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 | 2006-02-08 |
| 1528472008 | Tarsha Gibson | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-06-12 |
| 1407279201 | Anne Nesvacil Jones | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-29 |
| 1356764617 | Mary Hunter | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2014-01-22 |
| 1023449444 | Demarcus Evans | Social Worker | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-12-11 |
| 1982039798 | Meghan Diane Banks | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-09-11 |
| 1437591286 | T'shara Cannon | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-07-22 |
| 1902244361 | Amelia Louise Shelton | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2013-06-07 |
| 1154688943 | Capital Home Care, Inc. | Home Health | 3960 Patient Care Way, Suite 116, Lansing, MI 48911-4275 | 2012-04-18 |
| 1285907899 | Professional Associates In Rehabilitation LLC | Counselor | 3960 Patient Care Way, Ste. 104, Lansing, MI 48911-4275 | 2012-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1083104673 | Andersen Medical Group, LLC | Family Medicine | 712 1st Ter # 205, Lansing, KS 66043 | 2018-05-18 |
| 1952783847 | Ravinder Singh Dhillon | Family Medicine | 3001 Trappers Cove Trl, Apt 3035 1a, Lansing, MI 48910-5770 | 2015-06-26 |
| 1407272206 | Suma Thomas | Family Medicine | 1540 Lake Lansing Rd Ste 202, Lansing, MI 48912-3757 | 2014-03-17 |
| 1881955920 | Abigail Urish | Family Medicine | 1200 E Michigan Ave Ste 245-c, Lansing, MI 48912-1800 | 2012-06-05 |
| 1598077216 | Gregory A Lawson | Family Medicine | 1200 E Michigan Ave, Ste 245, Lansing, MI 48912-1897 | 2010-07-10 |
| 1235441528 | Kristy Anne Beckholt | Family Medicine | 1215 E Michigan Ave 7th Fl Tower West, Lansing, MI 48912 | 2010-07-02 |
| 1790949667 | Luis G Valle | Family Medicine | 500 E Thomas St, Lansing, MI 48906-6118 | 2008-07-10 |
| 1174708622 | Peter D Cotey | Family Medicine | Lansing Va Cboc, 2025 S Washington Ave, Lansing, MI 48910 | 2008-01-03 |
| Find all providers in LANSING | ||||
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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.