DR. ILEANA LOPEZ PLAZA


Address: 750 Washington St #826, Boston, MA 02111
Phone: 6176365842

DR. ILEANA LOPEZ PLAZA (NPI# 1396727715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396727715
Entity Type Individual
Full Name DR. ILEANA LOPEZ PLAZA
Other Name DR. ILEANA LOPEZ
Credential MD
Practice Address 750 Washington St #826
Boston
MA 02111
Practice Telephone 6176365842
Practice Fax Number 6176363175
Mailing Telephone 6176365842
Mailing Fax Number 6176363175
Enumeration Date 2005-11-20
Last Update Date 2007-07-31
NPI Deactivation Date 07/17/2007
NPI Reactivation Date 2007-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
221290 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 2075431 05
MA MEDICARE LO A37261 01

Office Location

Street Address 750 WASHINGTON ST #826
City BOSTON
State MA
Zip Code 02111

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Taxonomy Information

Taxonomy Code 207ZP0105X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology/Laboratory Medicine

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972753838 Umarani Thamaraichelvan Pathology Salter School, 184 West Boylston, Boston, MA 01583 2008-09-26
1891816955 Bradley E Bernstein Pathology Brigham & Womens Hospital, Dep, 75 Francis Street, Boston, MA 02138 2007-04-03
1205979697 Matthew L Meyerson Pathology Dana-farber Cancer Insti, M 430, Boston, MA 02115 2007-02-15
1962574871 Vikram Sheel Kumar Pathology Department of Pathology, Brigham and Women's Hospital, Amory 2, 75 Francis Street, Boston, MA 02115 2006-11-15
1861598179 Richard J Benjamin Pathology 75 Francis St., Brigham & Women's Hosp, Boston, MA 02115 2006-09-15
1114415767 Tyler E Miller Pathology 55 Fruit St, Boston, MA 02114-2621 2018-04-30
1588110134 Jason Schenkel Pathology 75 Francis St., Boston, MA 02115 2016-09-01
1831542554 Jameson Lee Dahlin Pathology 75 Francis St, Boston, MA 02115-6110 2016-07-18
1982028379 Sankha Subhra Basu Pathology 75 Francis St, Brigham and Women's Hospital, Department of Pathology, Boston, MA 02115-6110 2014-02-06
1124456652 Daimon Peter Simmons Pathology 75 Francis St, Boston, MA 02115-6110 2013-10-18
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City BOSTON
Zip Code 02111

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Dataset Information

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.

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