Individual provider Active NPI

Joseph Michael Lopez, PA

  • Physician Assistant
  • Downingtown, PA
National Provider Identifier
1720500895
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA005328 Issued in PA
Practice address
967 E Lancaster Ave
Downingtown, PA 19335-3328
Phone
(484) 593-5160
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA005328 PA Primary

Addresses

Primary practice location

967 E Lancaster Ave
Downingtown, PA 19335-3328

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Other practice location 1

4716 Grapevine Way
Davie, FL 33331-3354
Phone (954) 205-7690

Other practice location 2

4716 Grapevine Way
Davie, FL 33331-3354
Phone (954) 205-7690

Other practice location 3

701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901002034 PA Practitioner - Physician Assistant 5395003545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Lancaster Ave
Devon, PA 19333-1503
Phone (484) 581-2990

1411 S Collegeville Rd
Collegeville, PA 19426-2957
Phone (484) 902-1893

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566

967 E Lancaster Ave
Downingtown, PA 19335-3328
Phone (484) 593-5160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005328PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Pennsylvania Medical Group PLLC Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Aug 7, 2020 Accepting new patients
Patient First Pennsylvania Medical Group PLLC CurrentSince Aug 7, 2020 Accepting new patients
Aria Health Physician Services CurrentSince Nov 1, 2020 Accepting new patients
Aria Health Physicain Services CurrentSince Nov 1, 2020 Accepting new patients

Locations

967 E Lancaster Ave
Downingtown, PA 19335
Phone (484) 593-5160

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1720500895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 E LANCASTER AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353328",
            "telephone_number": "484-593-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4716 Grapevine Way",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333313354",
            "country_code": "US",
            "telephone_number": "954-205-7690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4716 Grapevine Way",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333313354",
            "country_code": "US",
            "telephone_number": "954-205-7690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Clayton St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053165",
            "country_code": "US",
            "telephone_number": "302-421-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.