Fernando Lopez (NPI# 1659391951, PAC ID# 7810980950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1659391951 |
| PAC ID by PECOS | 7810980950 |
| Professional Enrollment ID | I20040406000094 |
| Full Name | Fernando Lopez |
| Organization Legal Name | SPECTRACARE INTEGRATED SERVICES LLC |
| Address |
3542 Montgomery Hwy Dothan AL 36303-2165 |
| Phone Number | 33471227202275 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1958 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8921386798 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010021 | DALE MEDICAL CENTER |
| 010055 | FLOWERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3542 Montgomery Hwy, Dothan, AL 36303-2165 | 33471227202275 | SPECTRACARE INTEGRATED SERVICES LLC |
| Organization Legal Name | SPECTRACARE INTEGRATED SERVICES LLC |
| Physicians | 1 |
| Street Address |
3542 MONTGOMERY HWY |
| City | DOTHAN |
| State | AL |
| Zip | 36303-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esiri Esin | Psychiatry | 3542 Montgomery Hwy, Dothan, AL 36303-2165 | |
| Bobby Stephen Sanders | Family Medicine | Spectracare Health Systems Inc | 3542 Montgomery Hwy, Dothan, AL 36303-2165 |
| James Woodcox | Clinical Social Worker | Spectracare Health Systems Inc | 3542 Montgomery Hwy, Dothan, AL 36303-2165 |
| Shannon U Welch | Clinical Social Worker | Spectracare Health Systems Inc | 3542 Montgomery Hwy, Dothan, AL 36303-2165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Benjamin L Sneed | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Mary E Weaver | Emergency Medicine | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Michael B Nance | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jason M Martin | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Hassan Kesserwani | Neurology | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Melanie K Cotter | Psychologist, Clinical | 100 Westside Dr, Dothan, AL 36303-1908 | |
| Find all physicians in zip 36303 | |||
| City | DOTHAN |
| Zip Code | 36303 |
| Specialty | PSYCHIATRY |
| City + Specialty | DOTHAN + PSYCHIATRY |
Please comment or provide details below to improve the information on Fernando 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.