MR. EDWIN PEREZ-LOPEZ


Address: 83 Wellness Way, Benton, KY 42025-7156
Phone: 2705278601

MR. EDWIN PEREZ-LOPEZ (NPI# 1447272299) 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) 1447272299
Entity Type Individual
Full Name MR. EDWIN PEREZ-LOPEZ
Credential MD
Practice Address 83 Wellness Way
Benton
KY 42025-7156
Mailing Address Po Box 636961
Cincinnati
OH 45263-6961
Practice Telephone 2705278601
Practice Fax Number 2705279615
Mailing Telephone 5139815130
Mailing Fax Number 5139815015
Enumeration Date 2006-07-24
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 39144 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64106602 05

Office Location

Street Address 83 WELLNESS WAY
City BENTON
State KY
Zip Code 42025-7156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942282660 Rma-operating, Inc. Physician Assistant 83 Wellness Way, Benton, KY 42025-7156 2005-11-17
1932449121 Emily A Flowers Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2013-02-25
1629387972 Catherine N Jones Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2010-10-05
1427214832 Debra L Riley Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2008-08-05
1164600466 Kayla Renee Henson Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2008-02-08
1881720720 Maegan M Moryl Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2007-02-26
1619010444 Willard Jason Fiessinger Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2007-02-14
1447353826 Rma - Operating, Inc. Family Medicine 83 Wellness Way, Benton, KY 42025-7156 2006-09-07
1205942414 Jessica Lovett Nurse Practitioner 83 Wellness Way, Benton, KY 42025-7156 2006-08-21
1003834540 William Richard Colburn Family Medicine 83 Wellness Way, Benton, KY 42025-7156 2006-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073862843 Elisha Dougherty Pharmacist 1004 Big Bear Hwy, Benton, KY 42025 2012-09-07
1730310285 Benton Chiropractic, Pllc Chiropractor 141 Commerce Blvd, Benton, KY 42025 2009-07-31
1689813594 Murray Calloway County Public Hospital Internal Medicine 543 Powell St, Benton, KY 42025 2009-02-17
1912159864 William J Barabas Physical Therapist 244 Us Hwy 68 East, Benton, KY 42025 2008-10-22
1447419031 Mary Jane Darnell Occupational Therapy Assistant 2607 Main Street, Benton, KY 42025 2008-06-09
1710176540 Karen Diane Reed Counselor 198 Old Symsonia Road, Suite 107, Benton, KY 42025 2007-10-17
1255475794 Community Alternatives Kentucky, Inc. Home Health 402 Caky Drive, Benton, KY 42025 2007-02-17
1477605988 Marshall County Medical Associates Family Medicine 145 Vine Street, Benton, KY 42025 2007-01-17
1376604256 Marshall County Assn. for Exceptional Children and Adults, Inc Day Training, Developmentally Disabled Services 198 Old Symsonia Road, Benton, KY 42025 2006-12-13
1023111929 Benton Health Care, LLC Nurse Practitioner 414 East 12th Street, Benton, KY 42025 2006-09-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588270581 Wk Palmetto Family Practice Family Medicine 4200 Palmetto Rd, Benton, LA 71006-9420 2020-09-16
1245641273 Austin Beck Family Medicine 83 Wellness Way Lane, 1st Floor, Benton, KY 42025-7156 2014-05-13
1245415389 Comprehensive Family Health Care LLC Family Medicine 142 S Winchester St, Benton, MO 63736-0000 2008-01-08
1891816153 Patricia G Mcgarry Family Medicine 6640 Congo Rd., Benton, AR 72019-6913 2007-04-03
1477605988 Marshall County Medical Associates Family Medicine 145 Vine Street, Benton, KY 42025 2007-01-17
1235209198 Lisa Rebecca Barker Family Medicine 1304 Military Rd, Benton, AR 72015-2911 2006-11-08
1194821884 Troy Glen Moore Family Medicine 5539 Atlantic Cv, Benton, AR 72019-8563 2006-09-16
1619071024 Marvin Norwood Kirk Family Medicine 1102 B W. South Street, Benton, AR 72015-4066 2006-09-08
1780797035 Aleksander Ivanovich Malakhov Family Medicine Highway 411 South, Benton, TN 37307-0308 2006-08-17
1215956602 Ralph I Latta Family Medicine 501 N Duquoin, Benton, IL 62812-5228 2006-07-18
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Competitor

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City BENTON
Zip Code 42025

Improve Information

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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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