DR. IVAN ANTONIO LOPEZ (NPI# 1629168497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629168497 |
| Entity Type | Individual |
| Full Name | DR. IVAN ANTONIO LOPEZ |
| Credential | M.D. |
| Practice Address |
1200 Ne 55th Blvd Gainesville FL 32641-2783 |
| Mailing Address |
2839 Se Country Club Rd Lake City FL 32025-3802 |
| Practice Telephone | 3523758484 |
| Practice Fax Number | 3522648305 |
| Mailing Telephone | 3867524510 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME25786 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417909292 | Ivan E Lopez | Anesthesiology | Hipodromo Esquina Palmas, Santorce, PR 00910 | 2006-05-17 |
| 1164058756 | Ivan Ricardo Lopez | Social Worker | 11033 Nw State Road 20, Bristol, FL 32321-6406 | 2020-03-16 |
| 1396207494 | Ivan Lopez | Behavior Technician | 725 S Mesa Hills Dr Bldg 3, El Paso, TX 79912-5568 | 2019-04-05 |
| 1497248835 | Ivan Lopez | Community/Behavioral Health | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2018-06-11 |
| 1992845069 | Ivan R Lopez | Family Medicine | 2003 Montgomery Rd, Suite 106, Aurora, IL 60504-9078 | 2007-02-07 |
| 1760470306 | Ivan D. Lopez | Psychiatry & Neurology | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2005-10-07 |
| Street Address |
1200 NE 55TH BLVD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32641-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861469843 | Cynthia Sowers Cromer | Internal Medicine | 1200 Ne 55th Blvd, Gainesville, FL 32641-2759 | 2006-03-08 |
| 1780242388 | James Luel Poole Iv | Nurse Practitioner | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2019-05-30 |
| 1720523095 | Samantha Jade Smith | Psychologist | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2016-12-22 |
| 1912322298 | Alexandra Leader | Pharmacist | 1200 Ne 55th Blvd, Attn: Nfetc Pharmacy, Gainesville, FL 32641-2783 | 2014-02-24 |
| 1053598714 | Cipriano S Fernandes | Psychiatry & Neurology | 1200 Ne 55th Blvd, North Florida Eval/treatment Center, Gainesville, FL 32641-2783 | 2008-01-24 |
| 1659587707 | Kathryn Jean Ednie | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2007-05-15 |
| 1477697753 | Norman David Guthrie | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2007-02-19 |
| 1083784524 | Raymond E. Gabb | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2006-11-09 |
| 1457439770 | Rosa M Martin | General Practice | 1200 Ne 55th Blvd, Gainesville, FL 32641 | 2006-11-02 |
| 1851470819 | Eduardo Infante | Psychiatry & Neurology | 1200 Ne 55th Blvd, Gainesville, FL 32641-2783 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578060323 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1120 E University Ave Ste 200, Gainesville, FL 32641 | 2018-04-09 |
| 1750882940 | Enough Love LLC | In Home Supportive Care | 1424 Ne 4th Avenue, Gainesville, FL 32641 | 2018-02-23 |
| 1053822981 | Thomas Richard Obrien | Licensed Practical Nurse | 1604 S.e. 3rd Ave., Gainesville, FL 32641 | 2017-10-18 |
| 1184842734 | Abigail N Yeh | Music Therapist | 2610 Se 31st St, Gainesville, FL 32641 | 2007-04-20 |
| 1023120920 | Lynne Marie Webster | Registered Nurse | Achd 224 Se 24th St, Gainesville, FL 32641 | 2006-08-31 |
| 1477048080 | Lara Rae Rybak | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2018-06-26 |
| 1871967133 | Caitlin Gable | Social Worker | 1604 Se 3rd Ave, Gainesville, FL 32641 | 2015-11-23 |
| 1184097966 | Bhumi Patel | Physician Assistant | 224 Se 24th Street, Gainesville, FL 32641 | 2015-11-03 |
| 1588047468 | Volha Titov | Dentist | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2015-07-09 |
| 1215196621 | Elvira Silveria Mercado | Family Medicine | 410 Ne Waldo Rd, Gainesville, FL 32641 | 2008-06-02 |
| Find all providers in zip 32641 | ||||
| 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 |
|---|---|---|---|---|
| 1215315569 | Kathryn Pax Lattimore Moore | Psychiatry & Neurology | Uf Health Center for Movement Disorder and Restoration, 3450 Hull Rd, Gainesville, FL 32607 | 2015-05-07 |
| 1760801815 | Pouya Alexander Ameli | Psychiatry & Neurology | Uf Neurology Mcknight Brain Institute 1149 Newell Drive, Gainesville, FL 32610-0001 | 2014-04-15 |
| 1104265909 | Nakia Wilson | Psychiatry & Neurology | 100 Newell Dr Ste L3-100, Gainesville, FL 32610 | 2013-06-14 |
| 1760829824 | Justin Michael Yancey | Psychiatry & Neurology | 4343 W Newberry Rd Ste 3, Gainesville, FL 32607 | 2013-05-30 |
| 1457643314 | Addie Patterson | Psychiatry & Neurology | 3450 Hull Rd Fl 4, Gainesville, FL 32607-4144 | 2011-05-11 |
| 1629380720 | Qingshan Teng | Psychiatry & Neurology | 100 S Newell Dr, L3-100, Gainesville, FL 32610-0236 | 2010-07-06 |
| 1942432067 | Buna Joe Wilder Sr. | Psychiatry & Neurology | 10530 Nw 15th Pl, Gainesville, FL 32606 | 2009-08-24 |
| 1457568644 | Daniel Lamar Cobb | Psychiatry & Neurology | 1485 Jesse Jewell Pkwy Ne Ste 240, Gainesville, GA 30501-3801 | 2007-05-17 |
| 1962620070 | Suvarchala Somayajula | Psychiatry & Neurology | 1315 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501 | 2007-04-23 |
| 1346348281 | George G Feussner Md Pa | Psychiatry & Neurology | 7106 Nw 11th Place, Suite A, Gainesville, FL 32605-3157 | 2006-09-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32641 |
Please comment or provide details below to improve the information on DR. IVAN ANTONIO LOPEZ.
| 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.