DR. JONATHAN LOPEZ (NPI# 1619317575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619317575 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN LOPEZ |
| Credential | MD |
| Practice Address |
2727 W Dr Mlk Blvd Ste 570 Tampa FL 33607-6009 |
| Practice Telephone | 8138676200 |
| Mailing Telephone | 8138676200 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME133606 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME133606 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME133606 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941631 | Jonathan Blaine Lopez | Pharmacist | 1725 W Sale Rd, Lake Charles, LA 70605-2521 | 2020-04-24 |
| 1790313062 | Jonathan Lopez | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd Ste 4102, Gainesville, FL 32610-3003 | 2020-03-31 |
| 1326675083 | Jonathan B Lopez | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Ste Jjl 431, Houston, TX 77030-1501 | 2020-03-24 |
| 1821557877 | Jonathan Tadeo Lopez | Behavior Technician | 800 Howe Ave Ste 140, Sacramento, CA 95825-3965 | 2019-03-19 |
| 1316144728 | Jonathan Peter Lopez | Psychiatry & Neurology | 4800 Sand Point Way Ne, Neurology, Mb.7.420, Seattle, WA 98105-3901 | 2007-06-29 |
| 1881682714 | Jonathan D Lopez | Internal Medicine | 1860 Pennsylvania Ave, Suite 230, Fairfield, CA 94533-0000 | 2005-10-13 |
| Street Address |
2727 W DR MLK BLVD STE 570 |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558378141 | Paul Herschel Bowman Md | Dermatology | 5379 Primrose Lake Circle, Tampa, FL 33647 | 2006-08-03 |
| 1508812983 | Steven Al Proper | Dermatology | 14521 University Point Pl, Tampa, FL 33613-5424 | 2006-05-26 |
| 1184670903 | Paul H Bowman | Dermatology | 5379 Primrose Lake Cir, Tampa, FL 33647-3521 | 2006-05-25 |
| 1063779072 | Jennifer Michelle Divine | Dermatology | 12901 Bruce B Downs Blvd, Mdc 41, Tampa, FL 33612-4742 | 2012-04-15 |
| 1275854614 | Nicole Marie Howe | Dermatology | 15416 N Florida Ave, Tampa, FL 33613-1244 | 2010-06-21 |
| 1649438144 | Leavitt Medical Associates of Florida Inc | Dermatology | 6919 N Dale Mabry Hwy, Ste 325, Tampa, FL 33614-3972 | 2008-05-30 |
| 1619081155 | Patrick Michael Ellison | Dermatology | 8415 Bayshore Blvd, Tampa, FL 33621-1607 | 2006-08-19 |
| 1538119722 | Academic Alliance In Dermatology, Inc. | Dermatology | 5210 Webb Rd, Tampa, FL 33615-4518 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
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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.