Active NPI
Frank W Lopez, MD
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
National Provider Identifier
1952370934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 09855R
- 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, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1973548 | Medicaid | LA |
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 |
|---|---|---|---|
| 09855R | LA | MD | Pain 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.
-
dba Rehabilitation and Rheumatology Associates
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1396888731
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.