Martin J Lopez MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

16998 Issued in OK

Legal business name

MARTIN J LOPEZ MD PC

Practice address

4525 S Klein Ave
Ste 900
Oklahoma City, OK 73109-3845

Phone

(405) 631-0300

Fax

(405) 631-0371

NPI assigned

Oct 13, 2005

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martin J Lopez, MDNPI 1013905942

Title

President/Owner

Phone

(405) 631-0300

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin J Lopez, MD

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
  • NPI 1013905942

  Anesthesiology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1457349383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1772",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 S KLEIN AVE",
            "address_2": "STE 900",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093845",
            "telephone_number": "405-631-0300",
            "fax_number": "405-631-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN J LOPEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "405-631-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "16998",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "16998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050032793",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "441702842001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746810A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4460958",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Mae Martella, AU.D.
• Brian David Martens, DNAP
• Jeffrey D Martens, PA
• Sarah Martens, OTR/L
• Martin Bionics Clinical Care, LLC
• Mitsy Martin-Davis, PT
• Adrienne Allison Martin-Deangelis, PA
• Andreah Martin-Johnson
• Melissa Martin-Rathbone
• Alexandra Kay Martin, APRN, CPNP-PC

• Anesthesiology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.