Eddy Jose Lopez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110687 Issued in FL

Practice address

4507 N Armenia Ave
Tampa, FL 33603-2703

Phone

(813) 876-4100

Fax

(813) 876-4153

NPI assigned

Sep 25, 2017

Last updated

Sep 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John T. Moor, M.D.,P.a.

  • Specialist
  • Sarasota, FL
  • NPI 1144361981
  Medicare reassignment
• Sergio J. Jacinto, M.D., P.a.

  • Specialist
  • Tampa, FL
  • NPI 1124128103
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1013426857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11804 ROSSMAYNE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695657",
            "telephone_number": "813-390-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032703",
            "telephone_number": "813-876-4100",
            "fax_number": "813-876-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDDY",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lopez, DO
• Claudia Ferraro Lopez, FNP-BC
• Danyella Michelle Lopez
• Debbie C Lopez
• Diana Lopez
• Elio Lopez
• Elisse Nicole Lopez, PHARMD
• Emma D Lopez
• Irene Lopez
• Isabel Lopez

• Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.