DR. JOSE ANTONIO LOPEZ-LAGO (NPI# 1861440950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861440950 |
| Entity Type | Individual |
| Full Name | DR. JOSE ANTONIO LOPEZ-LAGO |
| Credential | M.D. |
| Practice Address |
1015 Medical Center Pkwy Selma AL 36701-6748 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 7065822393 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 00013180 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051556701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2016 S Alabama Ave, Monroeville, AL 364603096 | 2515753111 |
| Street Address |
1015 MEDICAL CENTER PKWY |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009539 | Deana Lynne Abernathey | Nurse Anesthetist, Certified Registered | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2005-08-04 |
| 1982203329 | Amanda Dawn Atcheson | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2020-10-17 |
| 1639792153 | Vaughan Regional Anesthesia LLC | Anesthesiology | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2020-05-19 |
| 1316598279 | John Thomas Nichols | Student in an Organized Health Care Education/Training Program | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2019-09-23 |
| 1346732641 | Benjamin Jay Sweet | Physician Assistant | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2018-06-01 |
| 1326553264 | Deborah Jenkins Kidd | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2017-12-13 |
| 1154845535 | Reneka Kiera Polk | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2017-07-27 |
| 1043606577 | Terry Dunson | Nurse Practitioner | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2015-04-10 |
| 1316352826 | Kenneth Crosswhite | Nurse Anesthetist, Certified Registered | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2014-06-23 |
| 1104262344 | Aditya Kumar Nirmal | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2013-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063401669 | Thomas Steven Spurgat | Emergency Medicine | 15069 Ih 35 N Ste 116, Selma, TX 78154-3372 | 2005-10-17 |
| 1457359671 | Aaron Jeffrey Carter | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2005-07-12 |
| 1104262344 | Aditya Kumar Nirmal | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2013-05-15 |
| 1588977524 | Brian Douglas Woo | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2010-07-20 |
| 1881851491 | Sean Brian Bohannon | Emergency Medicine | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2008-05-21 |
| 1942326590 | Maria Luisa Oquendo | Emergency Medicine | 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701-6780 | 2007-03-22 |
| 1497896799 | Angelo Nicholas Heropoulos | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2007-02-09 |
| 1871658641 | Joaquin Arambula | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-12-22 |
| 1245349232 | Lonnie Frank Felton | Emergency Medicine | 1015 Medical Center Pkwy, Selma, AL 36701-6748 | 2006-08-30 |
| 1851300719 | Imamu Osei Tomlinson | Emergency Medicine | 1141 Rose Ave, Selma, CA 93662-3241 | 2006-08-07 |
| Find all providers in SELMA | ||||
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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.