Gemma Justice Lopez, PA-C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

7208 Issued in AZ

Practice address

36453 N Gantzel Rd Ste 101
San Tan Valley, AZ 85140-7340

Phone

(480) 636-1225

Fax

(480) 636-8890

NPI assigned

Sep 17, 2018

Last updated

Jan 28, 2021By 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

Other identifiers 1

Other names 1

• Gemma Lindsay Justice Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Institute of Southern Arizona Pisa PCGroup PAC ID 4688615362, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.68 of 100Reported as group

Quality

40.49

Promoting interoperability

0

Improvement activities

30

Cost

74.27

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783

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.

• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078
  Medicare reassignment Care Compare group NPD
• Pain Institute of Southern Arizona Pisa PC

  dba Regional Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912
  NPD

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1932683919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-829-6776",
            "fax_number": "520-829-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36453 N GANTZEL RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407340",
            "telephone_number": "480-636-1225",
            "fax_number": "480-636-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22321 E Cherrywood Dr",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851424827",
            "country_code": "US",
            "telephone_number": "480-277-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GEMMA",
        "middle_name": "JUSTICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "577172",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "JUSTICE",
            "middle_name": "LINDSAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.