Juanita C Lopez (NPI# 1194855817, PAC ID# 5698766509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194855817 |
| PAC ID by PECOS | 5698766509 |
| Professional Enrollment ID | I20040520000092 |
| Full Name | Juanita C Lopez |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Address |
720 Golder Ave Odessa TX 79761-4442 |
| Phone Number | 4323373117 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658358635 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450132 | MEDICAL CENTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2450 W Loop, Suite 338, Odessa, TX 79763-3201 | 4323322695 | MCH PROFESSIONAL CARE |
| 500 W 4th St, Odessa, TX 79761-5001 | 4326402408 | MCH PROFESSIONAL CARE |
| 720 Golder Ave, Odessa, TX 79761-4442 | 4323373117 | MCH PROFESSIONAL CARE |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Notley | Nurse Practitioner | Mch Professional Care | 519 N Lincoln Ave, Odessa, TX 79761-4429 |
| Annalee A Mora | Nurse Practitioner | Mch Professional Care | 4210 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 |
| Nancy P Bueno | Nurse Practitioner | Mch Professional Care | 2450 W Loop, Suite 338, Odessa, TX 79763-3201 |
| Sudhir Amaram | Cardiovascular Disease (cardiology) | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Bonnie C Carter | Family Medicine | Mch Professional Care | 3001 Jbs Pkwy, Odessa, TX 79762-8126 |
| Manohar Angirekula | Cardiovascular Disease (cardiology) | Mch Professional Care | 1601 N Turner St, Suite 320, Hobbs, NM 88240-4310 |
| Sara Gray | Qualified Audiologist | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Jorge G. Alamo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Sam Eun Kim | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Eduardo Salcedo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Street Address |
720 GOLDER AVE |
| City | ODESSA |
| State | TX |
| Zip | 79761-4442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudhir Amaram | Cardiovascular Disease (cardiology) | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Michael Jesus Cuizon | Nurse Practitioner | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Kailea D Walker | Nurse Practitioner | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Tejas Patel | Internal Medicine | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Isadora G Subia | Nurse Practitioner | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Demuro Jr. | Physician Assistant | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Ravi Medi | Psychiatry | 2626 Jbs Pkwy, C129, Odessa, TX 79761 | |
| Benjamin J Turnbow | Orthopedic Surgery | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Andrew M Allbright | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brian W Griffin | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brandon Joseph Pepper | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| David R Godino | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Amber G Mcmullan | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Joanie Marie Weber | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Megan Leonard | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Find all physicians in zip 79761 | |||
| City | ODESSA |
| Zip Code | 79761 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ODESSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Juanita C Lopez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.