James A Lopez
Individual provider Active NPI Physician Assistant · Hatch, NM
NPI 1043544133 · NPPES record last updated Sep 24, 2009
Key facts
- NPI
- 1043544133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA2009-0025 (NM)
- Practice address
- 255 Highway 187
Hatch, NM 87937 - Phone
- (575) 267-3088
- Fax
- (575) 267-4606
- NPI assigned
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091028000067 | NM | Practitioner - Physician Assistant | 1052458858 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2009-0025 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients |
Locations
2150 Highway 54 S
Alamogordo, NM 88310
Phone (575) 443-8133
1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088
1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662
1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2009-0025 | NM | Yes |
Addresses
Primary practice location
255 Highway 187
Hatch, NM 87937
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other providers in Hatch, NM
- Hatch Area Medical Center Foundation
- Mary Ellen Hatcher
- Roberto Hernandez
- Anabel Knapp
- Trang T Le
- Fernando Lugo
- Sharon Rae Lundin
- Enrique Martinez
- Richard Mathias
- Clyde Kennedy Miller
All providers in Hatch, NM · Physician Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.