DR. JOSE A LOPEZ (NPI# 1952317232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952317232 |
| Entity Type | Individual |
| Full Name | DR. JOSE A LOPEZ |
| Credential | M.D. |
| Practice Address |
204 W Schubert St Fredericksburg TX 78624-3847 |
| Practice Telephone | 8309900255 |
| Practice Fax Number | 8309977569 |
| Mailing Telephone | 8309900255 |
| Mailing Fax Number | 8309977569 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G6963 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 125442702 | 05 | |
| TX | AETNA HMO | 924703 | 01 |
| TX | BLUECROSS/BLUE SHIELD TX. | 83Z202 | 01 |
| TX | AETNA PPO | 4547005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446152 | Jose A. Lopez | Counselor | 7426 Lake Maggorie Dr, Corpus Christi, TX 78413-5266 | 2020-04-20 |
| 1841825635 | Jose Carlos Lopez | Nurse Anesthetist, Certified Registered | 42369 Calle Arca De Noe, Quebradillas, PR 00678-9495 | 2020-03-11 |
| 1841823358 | Jose Antonio Lopez | Technician | 5743 Forsythe Dr, Las Vegas, NV 89142-2647 | 2020-02-13 |
| 1619495496 | Jose Jesus Lopez | Psychologist | 8727 Forest Hills Blvd, Dallas, TX 75218-4026 | 2017-08-31 |
| 1861845315 | Jose Lopez | Specialist/Technologist | 17993 Petersen Way, Castro Valley, CA 94546-1143 | 2016-07-20 |
| 1457707622 | Jose A. Lopez | Emergency Medical Technician, Paramedic | Hc 4 Box 18442, Camuy, PR 00627-9517 | 2016-05-06 |
| 1548650872 | Jose Daniel Lopez | Physician Assistant | 7919 Abbotts Pointe, San Antonio, TX 78254 | 2015-01-26 |
| 1821499948 | Jose Luis Lopez Jr. | Social Worker | 12968 Frederick St Ste D, Moreno Valley, CA 92553-5229 | 2014-09-08 |
| 1598196362 | Jose Alberto Lopez | Licensed Vocational Nurse | 1201 S Sullivan St, Santa Ana, CA 92704-3143 | 2013-12-04 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| Street Address |
204 W SCHUBERT ST |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174553465 | Dianne Denise Pittman | Nurse Practitioner | 204 W Schubert St, Fredericksburg, TX 78624-3847 | 2006-07-03 |
| 1710095302 | Cancer Care Network of South Texas Pa | Internal Medicine | 204 W Schubert St, Fredericksburg, TX 78624-3847 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253788 | Leroy J Essig | Internal Medicine | 240 Executive Center Parkway, Fredericksburg, VA 22401-3107 | 2006-09-08 |
| 1588681233 | Fredericksburg Oncology, Inc. | Internal Medicine | 111 Park Hill Dr, Suite B, Fredericksburg, VA 22401-3357 | 2006-07-17 |
| 1356371157 | Sudeep Joseph Menachery | Internal Medicine | 4501 Empire Court, Fredericksburg, VA 22408 | 2006-07-04 |
| 1275025546 | Keri Amanda Bradshaw | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2018-06-03 |
| 1538667498 | Leslie Cooper | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2018-01-25 |
| 1881121614 | Virginia Oncology Care,pc | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2017-05-11 |
| 1205386729 | Jamie Mcdowell | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2016-10-07 |
| 1194164418 | Archana Jadhav | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2013-06-19 |
| 1902048051 | Bonny Lauren Moore | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2009-04-02 |
| 1114015989 | Nicholas A. Cook | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2006-10-10 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
Please comment or provide details below to improve the information on DR. JOSE A LOPEZ.
| 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.