Jeffrey Paul Lopez, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

26283 Issued in KY

Practice address

706 23Rd St
Tri-State Regional Cancer Center
Ashland, KY 41101-2832

Phone

(606) 329-0060

Fax

(606) 325-9366

NPI assigned

Dec 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

Indiana University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlopez9210@direct.kdhealth.us
• Direct secure messaging: jlopez100117@direct.kdhealth.us

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.

• Kings Daughters Medical Specialties Inc

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  Medicare reassignment Care Compare group NPD
• Ashland Radiation Oncology, PSC

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1972648285
  Medicare reassignment NPD
• Kings Daughters Medical Specialties Inc

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Kings Daughters Medical Specialties Inc

  • Cardiovascular Disease Physician
  • Ashland, KY
  • NPI 1972830404
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1780668772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 23RD ST",
            "address_2": "TRI-STATE REGIONAL CANCER CENTER",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012832",
            "telephone_number": "606-329-0060",
            "fax_number": "606-325-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 23RD ST",
            "address_2": "TRI-STATE REGIONAL CANCER CENTER",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012832",
            "telephone_number": "606-329-0060",
            "fax_number": "606-325-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "26283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0774729",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64262835",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119009000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry W Lockard, DO
• Jessica Leanne Logan, APRN
• Robert Joshua Logan, PA-C
• Tiffany N. Long, LCSW
• Alejandro Jose Lopez Mustafa, MD
• Shauna Lorenzo-Rivero, M.D.
• Beverly Sue Lott
• Thomas Robert Love, MD
• Nicolette Lowe, LPP
• Michael Lucas, PT, DPT

• Radiation Oncology Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Radiation Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.