Individual provider Active NPI

Frank W Lopez, MD

  • Physical Medicine & Rehabilitation Physician
  • Lake Charles, LA
National Provider Identifier
1952370934
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
09855R Issued in LA
Practice address
3505 5TH Ave
Suite a-1
Lake Charles, LA 70607-2156
Phone
(337) 475-1028
Fax
(337) 475-2814
NPI assigned
Mar 14, 2006
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 09855R LA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 09855R LA

Addresses

Primary practice location

3505 5TH Ave
Suite a-1
Lake Charles, LA 70607-2156

Mailing address

4845 Lake St
# 214
Lake Charles, LA 70605-6009
Phone (337) 475-1028

Other identifiers 1

IdentifierTypeStateIssuer
1973548MedicaidLA

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

LicenseStateTypeSpecialty
09855RLAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1952370934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 LAKE ST",
            "address_2": "# 214",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056009",
            "telephone_number": "337-475-1028",
            "fax_number": "337-475-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 5TH AVE",
            "address_2": "SUITE A-1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706072156",
            "telephone_number": "337-475-1028",
            "fax_number": "337-475-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "FRANK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "09855R",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "09855R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973548",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.