JORGE IVAN LOPEZ (NPI# 1982652657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982652657 |
| Entity Type | Individual |
| Full Name | JORGE IVAN LOPEZ |
| Credential | MD |
| Practice Address |
1600 Medical Center Dr Ste B500 Huntington WV 25701-3655 |
| Mailing Address |
780 Kuenzli St Suit 202 Reno NV 89502-0845 |
| Practice Telephone | 3046911787 |
| Mailing Telephone | 7759824590 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
28628 | WV | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
17440 | AL | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
28628 | WV | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
17440 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 107325 | 05 | |
| AL | RAILROAD MEDICARE | P00720170 | 01 |
| AL | 107327 | 05 | |
| AL | 125428 | 05 | |
| AL | BCBS | 051113410 | 01 |
| AL | 107326 | 05 | |
| AL | BCBS | 051596439 | 01 |
| AL | BCBS | 051596437 | 01 |
| AL | BCBS | 051596435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1861977613 | Jorge E Lopez | Massage Therapist | 21 Connell Ave, Brockton, MA 02302-2541 | 2018-09-27 |
| 1356847859 | Jorge M Lopez | Assistant Behavior Analyst | 11413 Sw 253rd St, Homestead, FL 33032-6036 | 2018-04-03 |
| 1548688393 | Jorge Lopez Jr. | General Acute Care Hospital | 3029 W Coriander Dr, Tucson, AZ 85741-3659 | 2014-03-30 |
| 1386076594 | Jorge Antonio Lopez | Counselor | 2018 Tally Rd, Leesburg, FL 34748 | 2013-07-30 |
| 1548601750 | Jorge I Lopez | Registered Nurse | 3778 Albatross St, San Diego, CA 92103-3925 | 2013-07-16 |
| 1295936219 | Jorge E Lopez | Assisted Living Facility | 550 Sw 69th Ave, Miami, FL 33144-3636 | 2007-05-29 |
| 1528018504 | Jorge Roberto Lopez | Family Medicine | 1168 San Gabriel Blvd, Suite B, Rosemead, CA 91770-4236 | 2006-05-11 |
| 1437750577 | Jorge Eliseo Lopez | Driver | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-04 |
| 1639712862 | Jorge Lopez | Registered Nurse | 4902 W Highway 83, Ste 2, Roma, TX 78584-7858 | 2019-10-21 |
| Street Address |
1600 MEDICAL CENTER DR STE B500 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664355 | Steven Brown | Clinical Neuropsychologist | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2006-03-28 |
| 1124656509 | Dustin Lucas Baum | Pharmacist | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2020-03-31 |
| 1578102778 | Megan Dene Midkiff | Nurse Practitioner | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2020-01-06 |
| 1598329807 | Morgan Aguirre | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2019-04-23 |
| 1548715840 | Rachel B. Beirne | Nurse Practitioner | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2016-08-17 |
| 1861871097 | Jared Hollinger | Psychiatry & Neurology | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2015-05-20 |
| 1780083519 | Kelly Johnson | Nurse Practitioner | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2014-08-18 |
| 1396164190 | Dharampreet Singh | Psychiatry & Neurology | 1600 Medical Center Dr Ste B500, Huntington, WV 25701 | 2014-04-09 |
| 1023337961 | Sajeel Rehmat Khan | Neurological Surgery | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2010-05-17 |
| 1437328192 | Nicolas Phan | Neurological Surgery | 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316138324 | Mary S Payne | Psychiatry & Neurology | 1600 Medical Center Dr, Ste B500, Huntington, WV 25701-3656 | 2007-08-05 |
| 1558390823 | Paul Douglas Knowles | Psychiatry & Neurology | 1600 Medical Center Dr, B500, Huntington, WV 25701-3656 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891182036 | Azara Sneha Singh | Psychiatry & Neurology | 830 Pennsylvania Ave Ste 201, Charleston, WV 25302-3389 | 2015-04-24 |
| 1598798860 | Monique Kossak Gingold | Psychiatry & Neurology | 816 Somerset St, Morgantown, WV 26505-2111 | 2006-07-09 |
| 1508097395 | Zaid Abed Al-kariem A. Al-qudah | Psychiatry & Neurology | 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 | 2009-07-28 |
| 1225264203 | John Lawson Magruder | Psychiatry & Neurology | 1 Medical Center Drive, Morgantown, WV 26506 | 2009-06-04 |
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on JORGE IVAN 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.