Eligio Loperena Jr., P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1745 Issued in FL

Practice address

368 NE Franklin St
Lake City, FL 32055-3088

Phone

(386) 754-8000

NPI assigned

Apr 22, 2007

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Ipn Emergency Physicians of North Florida PA

  • Emergency Medicine Physician
  • Starke, FL
  • NPI 1619287158

  Physician Assistant

  NPD (past)
• North Florida Emergency Physicians

  • Emergency Medicine Physician
  • Lake City, FL
  • NPI 1538251186
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1124246673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11329 SW 77TH WAY",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320549667",
            "telephone_number": "386-496-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 NE FRANKLIN ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553088",
            "telephone_number": "386-754-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERENA",
        "first_name": "ELIGIO",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnie Rae Locascio, MS, RD, LDN
• Karyn Lockerman-Elliott, LCPC, LMHC
• Ciera Long
• Paul Looney
• Myka Loos
• Leidys Lopez, NP-C
• Samuel Louis
• Tomika Lasha Lowe-Lopez, PT, DPT, OTR/L
• David Clyde Lower, PT,DPT
• Donneisha S Lubin

• Physician Assistant in Lake City, FL
• Providers in Lake City, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.