Juanita C Lopez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

720 Golder Ave
Odessa, TX 79761-4442

Phone

(432) 337-3117

Fax

(432) 337-3448

NPI assigned

Mar 6, 2007

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCH Professional CareGroup PAC ID 1658358635, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Merit-based Incentive Payment System (MIPS)

Final score

79.78 of 100Reported as group

Quality

60.9

Promoting interoperability

100

Improvement activities

40

Cost

66.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• MCH Professional Care

  dba MCH ProCare

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1649391269
  Medicare reassignment Care Compare group
• A & D Medical Center, LLC

  dba Family Medical Center of Monahans

  • Rural Health Clinic/Center
  • Monahans, TX
  • NPI 1295793214
  NPD (past)
• Odessa Heart Institute

  • Specialist
  • Odessa, TX
  • NPI 1821131855
  NPD (past)
• Suresh N Gadasalli M D P a

  dba The Healthy Heart Center

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1427050780
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1194855817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614442",
            "telephone_number": "432-337-3117",
            "fax_number": "432-337-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614442",
            "telephone_number": "432-337-3117",
            "fax_number": "432-337-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUANITA",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "PA03700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Nelson Lopez Gutierrez
• Guillermo Antonio Lopez-Gonzalez, M.D.
• Enriqueta Lopez, NP
• Gilfrhen Bernard Lopez, MD
• Joneisha L Lopez, MA, LPC
• Michelle Rodriguez Lopez
• Yesenia Lopez
• Yvette Lopez
• Lou's Clinical Lab
• Lous Clinical Lab Inc

• Physician Assistant in Odessa, TX
• Providers in Odessa, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.