Edward M Lopez, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26672 Issued in CO

Practice address

1925 E Orman Ave
Suite A235
Pueblo, CO 81004-3537

Phone

(719) 557-3616

Fax

(719) 557-3690

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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.

• Colorado Plains Physician Practices LLC

  • Cardiovascular Disease Physician
  • Fort Morgan, CO
  • NPI 1821042409
  NPD

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

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 6, 2011.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1376512665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN ST",
            "address_2": "SUITE 208",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013290",
            "telephone_number": "970-542-4371",
            "fax_number": "970-542-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ORMAN AVE",
            "address_2": "SUITE A235",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043537",
            "telephone_number": "719-557-3616",
            "fax_number": "719-557-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "26672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Longfellow, D.O.
• Taylor Haydee Lopez-Cepero, RDN
• Adrian Lopez
• Carol A Lopez, BSW,CACIII
• Debra Lopez
• Isabella Rose Lopez
• Laura Lopez, PTA
• Laurence Lopez, M.D.
• Richard Anthony Lopez, MS, LAC, CAS
• Sadie A Lopez, LCSW, CACIII

• All providers in Pueblo, CO
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.