Active NPI
Nicholas M Lopez, M.D.
- Family Medicine Physician
- Holland, OH
National Provider Identifier
1932107562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35041209L
- Practice address
- 6855 Spring Valley Dr
Ste 120
Holland, OH 43528-8039 - Phone
- (419) 865-3111
- NPI assigned
- Jul 8, 2005
- Last updated
- Dec 13, 2024
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35041209L | OH | Primary |
Addresses
Primary practice location
6855 Spring Valley Dr
Ste 120
Holland, OH 43528-8039
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 865-3111
Other practice location 1
6855 Spring Valley Dr Ste 160
Holland, OH 43528-8039
Phone (419) 865-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0370665 | Medicaid | OH |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041209L | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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 Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1932107562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "419-865-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 SPRING VALLEY DR",
"address_2": "STE 120",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435288039",
"telephone_number": "419-865-3111"
}
],
"practiceLocations": [
{
"address_1": "6855 Spring Valley Dr Ste 160",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "OH",
"postal_code": "435288039",
"country_code": "US",
"telephone_number": "419-865-3111",
"fax_number": "419-866-1390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "NICHOLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35041209L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0370665",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.