Cecilia G. Lopez, MD,PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

CL046551 Issued in MI

Legal business name

CECILIA G. LOPEZ, MD,PC

Practice address

3020 S Genesee Rd
Burton, MI 48519-1420

Phone

(810) 744-3321

Fax

(810) 744-2850

NPI assigned

May 8, 2008

Organization subpart

Yes

Parent organization

CECILIA G. LOPEZ, MD PCAs reported in NPPES

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

Authorized official

Name

Osie Luz

Title

Office Manager

Phone

(810) 744-3321

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Cecilia G Lopez MDPC

Locations

Interoperability endpoints

• Direct secure messaging: cecilialopez@cglmd.allscriptsdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Garcia Lopez, MD

  • Pediatrics Physician
  • Burton, MI
  • NPI 1285611988
  NPD

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1992972079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S GENESEE RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191420",
            "telephone_number": "810-744-3321",
            "fax_number": "810-744-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S GENESEE RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191420",
            "telephone_number": "810-744-3321",
            "fax_number": "810-744-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA G. LOPEZ, MD,PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CECILIA G. LOPEZ, MD PC",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "LUZ",
        "authorized_official_first_name": "OSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-744-3321"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "CL046551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719565",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jaqushia Cayton
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• Center Road Scanner LLC
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• Jean Marie Cheney

• Pediatrics Physician in Burton, MI
• Providers in Burton, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.