DR. JOSE LUIS LOPEZ JR. (NPI# 1336352806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352806 |
| Entity Type | Individual |
| Full Name | DR. JOSE LUIS LOPEZ JR. |
| Credential | M.D. |
| Practice Address |
615 N Michigan St South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746473281 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01073464A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS MEMORIAL HOSPITALIST | 000000862571 | 01 |
| IN | BCBS BMG FULTON | 000000986785 | 01 |
| IN | MEDICARE PTAN | 261970016 | 01 |
| IN | 201214240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446152 | Jose A. Lopez | Counselor | 7426 Lake Maggorie Dr, Corpus Christi, TX 78413-5266 | 2020-04-20 |
| 1841825635 | Jose Carlos Lopez | Nurse Anesthetist, Certified Registered | 42369 Calle Arca De Noe, Quebradillas, PR 00678-9495 | 2020-03-11 |
| 1841823358 | Jose Antonio Lopez | Technician | 5743 Forsythe Dr, Las Vegas, NV 89142-2647 | 2020-02-13 |
| 1619495496 | Jose Jesus Lopez | Psychologist | 8727 Forest Hills Blvd, Dallas, TX 75218-4026 | 2017-08-31 |
| 1861845315 | Jose Lopez | Specialist/Technologist | 17993 Petersen Way, Castro Valley, CA 94546-1143 | 2016-07-20 |
| 1457707622 | Jose A. Lopez | Emergency Medical Technician, Paramedic | Hc 4 Box 18442, Camuy, PR 00627-9517 | 2016-05-06 |
| 1548650872 | Jose Daniel Lopez | Physician Assistant | 7919 Abbotts Pointe, San Antonio, TX 78254 | 2015-01-26 |
| 1821499948 | Jose Luis Lopez Jr. | Social Worker | 12968 Frederick St Ste D, Moreno Valley, CA 92553-5229 | 2014-09-08 |
| 1598196362 | Jose Alberto Lopez | Licensed Vocational Nurse | 1201 S Sullivan St, Santa Ana, CA 92704-3143 | 2013-12-04 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| Street Address |
615 N MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1720613268 | Jennifer Lynn Boyd | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-05 |
| 1104451798 | Ryan Lipinski | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-03-04 |
| 1669007241 | Alexandra Rain Ross | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-04 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1487132114 | South Bend Emergency Physicians, Inc | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-08-03 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861421141 | Beacon Medical Group, Inc. | Psychiatry & Neurology | 100 Navarre Pl Ste 6600, South Bend, IN 46601 | 2006-06-30 |
| 1821024043 | Virgil A Dibiase | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-23 |
| 1316936123 | John G Aranda | Psychiatry & Neurology | 1619 E Colfax Ave, South Bend, IN 46617-2603 | 2005-10-14 |
| 1528201076 | Thomas Leahy | Psychiatry & Neurology | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2009-04-14 |
| 1134378375 | Satya N Ramiah | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2008-09-11 |
| 1528274313 | Edward Daniel Nusbaum | Psychiatry & Neurology | 403 E Madison St, South Bend, IN 46617-2322 | 2007-05-16 |
| 1134262595 | North Central Neurology, LLC | Psychiatry & Neurology | 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 | 2007-02-15 |
| 1720016926 | James W Kozelka | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-28 |
| 1033165428 | Kathryn A. Hanlon | Psychiatry & Neurology | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2006-05-26 |
| 1043208739 | Bridget Patterson-marshall | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2005-10-07 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on DR. JOSE LUIS LOPEZ JR..
| 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.