Active NPI
Jose Eduardo Osorio-Lopez, PA-C
- Physician Assistant
- Apollo Beach, FL
National Provider Identifier
1720090061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9101902
- Practice address
- 6150 N US Highway 41
Apollo Beach, FL 33572-1806 - Phone
- (813) 641-0007
- Fax
- (813) 641-0009
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 30, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9101902 | FL | Primary |
Addresses
Primary practice location
6150 N US Highway 41
Apollo Beach, FL 33572-1806
Mailing address
2370 Corporate Cir
Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291210400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100626000352 | FL | Practitioner - Physician Assistant | 0345371894 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Past | Accepting new patients | |
| Hernando Pasco Primary Care LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIDHCD
- https://fhir4.healow.com/fhir/r4/HIBHCD
Organizations & group practices 2
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.
-
dba MyCare Medical
- Internal Medicine Physician
- Lutz, FL
- NPI 1245273093
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1720090061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR",
"address_2": "STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 N US HIGHWAY 41",
"city": "APOLLO BEACH",
"state": "FL",
"postal_code": "335721806",
"telephone_number": "813-641-0007",
"fax_number": "813-641-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSORIO-LOPEZ",
"first_name": "JOSE",
"middle_name": "EDUARDO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9101902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291210400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apollo Beach, FL
- Origin Advanced Healing PLLC
- Orthopaedic Medical Group of Tampa Bay PA
- Orthopaedic Medical Group of Tampa Bay PA
- Orthopros PLLC (OrthoPros)
- Morsal Osmani, DO
- Outpatient Anesthesia Solutions LLC
- P3 Health Partners-FL LLC (P3 Health Partners Medical Group)
- Angel Christine Padgett, PCT
- Edgardo Pagan, DC
- Michael Pappas, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.