Active NPI
Jaime Lopez, P.A.
- Physician Assistant
- Houston, TX
National Provider Identifier
1922322437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06540
- Practice address
- 6550 Fannin St
Suite 1401
Houston, TX 77030-2717 - Phone
- (713) 441-6201
- NPI assigned
- Mar 26, 2010
- 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 | PA06540 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 1401
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 1401
Houston, TX 77030-2717
Phone (713) 441-6201
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212991801 | Medicaid | TX | |
| 1922322437 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Organization | Past | Accepting new patients | |
| TMH Physician Associates PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Family Medicine Physician
- Houston, TX
- NPI 1831862291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1922322437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1401",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JAIME",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212991801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1922322437",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.