JEREMIAH LOPEZ (NPI# 1275963761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275963761 |
| Entity Type | Individual |
| Full Name | JEREMIAH LOPEZ |
| Other Name | ETHAN ORR |
| Practice Address |
1651 W Grant Rd Tucson AZ 85745-1433 |
| Mailing Address |
Po Box 27669 Tucson AZ 85726-7669 |
| Practice Telephone | 5205718600 |
| Practice Fax Number | 5205718700 |
| Mailing Telephone | 5205718600 |
| Mailing Fax Number | 5205718700 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306134085 | Jeremiah Lopez | Family Medicine | 804 Service Rd Ste A235, East Lansing, MI 48824-7015 | 2011-07-15 |
| 1497834832 | Jeremiah Guadez Lopez | Physical Therapist | 8371 116th St, Suite B, Richmond Hill, NY 11418-3448 | 2006-11-05 |
| Street Address |
1651 W GRANT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225451453 | Simply Clean and Green LLC | Community/Behavioral Health | 1651 W Grant Rd, Tucson, AZ 85745-1433 | 2014-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672799 | Deborah Marie Winn | Contractor | 2960 N Swan Rd Ste 214, Tucson, AZ 85712-6020 | 2020-06-03 |
| 1073095840 | Rodney Johnson | Contractor | 6308 W Copper Leaf Dr, Tucson, AZ 85757-7539 | 2018-08-29 |
| 1861984841 | Esther Simmons | Contractor | 15918 N Forecastle Ave, Tucson, AZ 85739-9689 | 2018-06-05 |
| 1760992333 | Charity King | Contractor | 7502 E 33rd St, Tucson, AZ 85710-6006 | 2017-10-09 |
| 1598280562 | Margo Moore | Contractor | 2817 E Coconino Vis, Tucson, AZ 85713-4005 | 2017-08-10 |
| 1013445469 | Reina Fregoso | Contractor | 2183 E Calle Sierra Del Manantial, Tucson, AZ 85706-5090 | 2017-05-30 |
| 1942752530 | Guadalupe Aguirre | Contractor | 7135 S Providence Dr, Tucson, AZ 85757-6946 | 2016-10-28 |
| 1043769409 | Rebeca Hawkins | Contractor | 8639 N Kimball Way, Tucson, AZ 85743-5011 | 2016-09-27 |
| 1578019865 | Sarah Ann Roop | Contractor | 3920 E 5th St, Tucson, AZ 85711-1917 | 2016-08-28 |
| 1588118566 | Jonathan Oum | Contractor | 7162 E 19th St, Tucson, AZ 85710-4909 | 2016-08-08 |
| Find all providers in TUCSON | ||||
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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.