Active NPI
Celeste D Lopez, MD
- Pediatrics Physician
- Bryan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.077890
- Practice address
- 442 W High St Ste 3
Bryan, OH 43506-1681 - Phone
- (419) 636-4517
- Fax
- (419) 636-6438
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.077890 | OH | Primary |
Addresses
Primary practice location
442 W High St Ste 3
Bryan, OH 43506-1681
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
154 W Third St
Delphos, OH 45833
Phone (419) 692-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173455 | Medicaid | OH |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clopez9005@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Community Health Associates, Inc. | Current | Accepting new patients | |
| Midwest Community Health Associates, Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Community Hospitals and Wellness Centers | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
442 W High St
Ste 3
Bryan, OH 43506
Phone (419) 633-4174
Interoperability endpoints
- clopez9005@direct.parkviewexchange.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Bryan, OH
- NPI 1619915170
-
- Durable Medical Equipment & Medical Supplies
- Bryan, OH
- NPI 1942770581
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
-
- 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": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1962468066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442 W HIGH ST STE 3",
"city": "BRYAN",
"state": "OH",
"postal_code": "435061681",
"telephone_number": "419-636-4517",
"fax_number": "419-636-6438"
}
],
"practiceLocations": [
{
"address_1": "154 W Third St",
"address_purpose": "LOCATION",
"city": "Delphos",
"state": "OH",
"postal_code": "45833",
"country_code": "US",
"telephone_number": "419-692-9355",
"fax_number": "419-692-9354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "CELESTE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.077890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173455",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clopez9005@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "442 W High St Ste 3",
"city": "Bryan",
"state": "OH",
"country_code": "US",
"postal_code": "435061681",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "442 W High St Ste 3",
"city": "Bryan",
"state": "OH",
"country_code": "US",
"postal_code": "435061681",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "442 W High St Ste 3",
"city": "Bryan",
"state": "OH",
"country_code": "US",
"postal_code": "435061681",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.