Edward Michael Lopez Jr., M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35.098407 Issued in OH

Practice address

3551 Roger Brooke Dr
Attn: Department of Pain Management
Fort Sam Houston, TX 78234-4504

Phone

(210) 916-2888

Fax

(210) 916-3050

NPI assigned

Aug 17, 2006

Last updated

Jul 23, 2015By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1245343615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "ATTN: DEPARTMENT OF PAIN MANAGEMENT",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2888",
            "fax_number": "210-916-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "ATTN: DEPARTMENT OF PAIN MANAGEMENT",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-2888",
            "fax_number": "210-916-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDWARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.098407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Ruth Lombardo, MD
• Terence Patrick Lonergan, M.D.
• Adrianna Nicole Long, M.D.
• Raymond Jason Longinos, SRNA, RN
• Argelio Luis Lopez-Roca Fernandez, M.D.
• Federico Lopez Jr.
• Maria Esmeralda Lopez, LCSW
• Stacy Jean Losey, CNM, WHNP
• Matthew S. Louis, PHYSICIAN ASSISTANT
• Doreen M. Lounsbery, MD

• Anesthesiology Physician in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.