Erixis Lopez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9108765 Issued in FL

Practice address

3228 San Jose Mission Dr
Dover, FL 33527-4746

Phone

(727) 748-5765

NPI assigned

Apr 3, 2016

Last updated

Apr 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cepero Pediatrics, P.a.

  • Pediatrics Physician
  • Port Charlotte, FL
  • NPI 1619233509
  NPD (past)

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459641600000",
    "number": "1750744033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 ROCHELLE LN",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335946634",
            "telephone_number": "813-863-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 SAN JOSE MISSION DR",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274746",
            "telephone_number": "727-748-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ERIXIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Karidas Vilardebo, PH.D., CCC-SLP
• Sandi Bernice Lamb-Wilson, APRN
• Marissa Lawson, APRN
• Living Support Services LLC
• Claudia Maria Lopez Rodriguez, M.D
• Mirta Lugo, APRN
• Jacob Lynch, FNP-BC
• Christopher Mathew, OTD, OTR/L
• Saroja Medidi, M.D.
• Subhakararao Medidi, M.D.

• Medical Physician Assistant in Dover, FL
• Providers in Dover, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.