DR. MARCELO ENRIQUE LOPEZ-CLAROS (NPI# 1962578047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962578047 |
| Entity Type | Individual |
| Full Name | DR. MARCELO ENRIQUE LOPEZ-CLAROS |
| Credential | M.D. |
| Practice Address |
3019 Falstaff Rd Raleigh NC 27610-1812 |
| Mailing Address |
105 Whittshire Ct Cary NC 27513-5581 |
| Practice Telephone | 9192507000 |
| Mailing Telephone | 9198179147 |
| Mailing Fax Number | 9198211434 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
33595 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33595 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
33595 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 52863 | 01 |
| NC | 8952863 | 05 |
| Street Address |
3019 FALSTAFF RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269592 | David Mbuga Gacengeci | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2006-03-22 |
| 1689273120 | Monika Rae Shontz | Social Worker | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-10-24 |
| 1013514496 | Jennifer Metzger | Social Worker | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-10-08 |
| 1013530039 | April Julia Brewster | Nurse Practitioner | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-05-26 |
| 1922566579 | Sherri Lynn Ford-jacobs | Counselor | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2019-03-02 |
| 1508345760 | Retfalvi International, Inc | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2018-08-08 |
| 1689057028 | J.b. Childers, Md, Pllc | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2015-07-02 |
| 1609265610 | J Z Wang Psychiatic Service P C | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2015-01-14 |
| 1699173294 | Pave Behavioral Health Services PC | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610 | 2014-12-12 |
| 1861739401 | Holly Hill Hospital LLC | Psychiatric Hospital | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184707325 | Leslie Bronner | Family Medicine | 1012 Oberlin Road, Suite 300, Raleigh, NC 27605-1135 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699089 | Kellogg Medical Pllc | Family Medicine | 10352 Park Rd, Charlotte, NC 28210-8401 | 2020-02-03 |
| 1902441041 | High Country Recovery | Family Medicine | 838 State Farm Rd Ste B, Boone, NC 28607-5307 | 2019-11-13 |
| 1811421381 | Victoria Ingram Windley | Family Medicine | 44 Wendy Ct, Kernersville, NC 27284-9095 | 2017-04-12 |
| 1437325446 | Cauveh Erami | Family Medicine | 2200 Clyborn Church Rd, Lumberton, NC 28360-9356 | 2008-04-30 |
| 1992847412 | James Walter Finch | Family Medicine | 910 Broad St, Durham, NC 27705-4142 | 2007-02-12 |
| 1578616470 | Celia Lauren Spillmann | Family Medicine | 417 N Main St Ste B, Salisbury, NC 28144-4358 | 2007-01-22 |
| 1902856065 | Wendell Lewis Randall | Family Medicine | 651 S Main St, Dobson, NC 27017-8432 | 2006-05-11 |
| 1407481732 | Rapha Healthcare Services - Lab | Family Medicine | 4411 Ben Franklin Blvd, Durham, NC 27704-2147 | 2020-03-06 |
| 1194361923 | Wilmington Family Practice Pllc | Family Medicine | 201 N Front St Ste 102, Wilmington, NC 28401-4055 | 2019-11-27 |
| 1194382945 | Mobile Fnp Jrjohnson | Family Medicine | 236 N Mebane St Ste 123, Burlington, NC 27217-3900 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
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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.