Active NPI
Jose Lopez, DO
- Emergency Medicine Physician
- Baltimore, MD
National Provider Identifier
1295860997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0054725
- Practice address
- 9000 Franklin Square Dr
Baltimore, MD 21237-3901 - Phone
- (443) 777-7068
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0054725 | MD | Primary |
Addresses
Primary practice location
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Mailing address
1000 River Rd
Ste 100
Conshohocken, PA 19428-2439
Phone (800) 355-3818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlantic Healthcare Group | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- jlopez2022183@direct.trinity-health.org
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1467408450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1295860997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RIVER RD",
"address_2": "STE 100",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282439",
"telephone_number": "800-355-3818",
"fax_number": "610-834-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 FRANKLIN SQUARE DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373901",
"telephone_number": "443-777-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOSE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0054725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.