DR. ANTHONY WILLIAM LOPEZ JR. (NPI# 1104312735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104312735 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY WILLIAM LOPEZ JR. |
| Credential | DC |
| Practice Address |
15007 Creosote Rd Ste A Gulfport MS 39503-4392 |
| Mailing Address |
310 W Old Pass Rd Long Beach MS 39560-4528 |
| Practice Telephone | 2285332733 |
| Mailing Telephone | 6018700732 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1287 | MS | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891221958 | Anthony Lopez | Prevention Professional | 14011 Kenton Ave, Crestwood, IL 60445-2252 | 2017-05-11 |
| 1205298973 | Anthony Michael Rudolph Lopez | Chiropractor | 21226 Ventura Blvd # 294, Woodland Hills, CA 91364-2106 | 2016-03-22 |
| 1477820660 | Anthony Ryan Lopez | Optometrist | 3815 56th Street Ct Nw, Gig Harbor, WA 98335-7120 | 2011-11-16 |
| 1265883912 | Anthony Luis Lopez | General Practice | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2016-06-23 |
| 1881057578 | Anthony Feliciano Lopez | Counselor | 1420 Bushwick Ave, Brooklyn, NY 11207-1422 | 2016-03-31 |
| 1871961391 | Anthony Lopez | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2015-09-15 |
| 1114394079 | Anthony Michael Lopez | Community Health Worker | 6504 Ne Siskiyou St, Portland, OR 97213-4572 | 2015-08-27 |
| 1245511690 | Anthony Lopez | Rehabilitation Practitioner | 4660 S Eastern Ave, Suite 200, Las Vegas, NV 89119-6137 | 2011-08-30 |
| 1356576623 | Anthony Raul Lopez | Anesthesiology | 410 W 10th Ave, N417 Doan Hall, Columbus, OH 43210-1240 | 2009-05-15 |
| 1609042159 | Anthony Lopez | Physician Assistant | 585 Schenectady Ave, Manage Care Department Blumberg Building 6th Floor, Brooklyn, NY 11203-1809 | 2008-05-05 |
| Street Address |
15007 CREOSOTE RD STE A |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-4392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962998112 | Clear Families Chiropractic LLC | Chiropractor | 15007 Creosote Rd Ste A, Gulfport, MS 39503-4392 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297123 | Shelby Wittorf | Chiropractor | 370 Courthouse Rd Ste 101, Gulfport, MS 39507-1889 | 2019-10-25 |
| 1578929329 | Marissa Lyn Hols | Chiropractor | 6320 7th Ave S, Gulfport, FL 33707-2305 | 2016-01-10 |
| 1083088488 | William Bankester | Chiropractor | 8950 Lorraine Rd Ste C, Gulfport, MS 39503-4183 | 2015-11-23 |
| 1063805083 | Dr. Elizabeth A. Douglas D.c. | Chiropractor | 4933 14th Ave S, Gulfport, FL 33707-3622 | 2015-03-16 |
| 1083042170 | Brandon Hardin | Chiropractor | 370 Courthouse Rd, 101, Gulfport, MS 39507-1889 | 2013-10-29 |
| 1285060954 | Lance Ellis Cleveland | Chiropractor | 45 Hardy Court Ctr, Ste. 103, Gulfport, MS 39507-2501 | 2013-09-25 |
| 1386905412 | Back Room | Chiropractor | 15312 Dedeaux Rd, Suite A, Gulfport, MS 39503-3123 | 2012-06-05 |
| 1083999130 | Katanya D Ford | Chiropractor | 1243 28th St Ste A, Gulfport, MS 39501-6203 | 2011-10-19 |
| 1013151638 | Bradford Joseph Dewitt | Chiropractor | 15465 Oak Ln Ste 100b, Gulfport, MS 39503-2663 | 2009-04-27 |
| 1306009303 | Coast Nerve & Spine Center, LLC | Chiropractor | 15037 Dedeaux Rd, Gulfport, MS 39503-3284 | 2008-07-09 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.