LOUIS ALFRED LOPEZ


Address: 604 W Berry St, Fort Wayne, IN 46802-2106
Phone: 2604231331

LOUIS ALFRED LOPEZ (NPI# 1922117571) 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) 1922117571
Entity Type Individual
Full Name LOUIS ALFRED LOPEZ
Credential MD
Practice Address 604 W Berry St
Fort Wayne
IN 46802-2106
Practice Telephone 2604231331
Practice Fax Number 2604221046
Mailing Telephone 2604231331
Mailing Fax Number 2604221046
Enumeration Date 2006-08-29
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
01045695A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200108750A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
10020 Dupont Circle Ct Ste 140, Fort Wayne, IN 468251621 2604894100 2604894188
285 W 12th St Ste 105, Peru, IN 469701654 7654758973 7654758974

Other Providers LOUIS LOPEZ

NPI Name Taxonomy Address Enumeration
1588028948 Louis Oscar Lopez Community Health Worker 1114 W 70th St, Los Angeles, CA 90044-2520 2016-04-11

Office Location

Street Address 604 W BERRY ST
City FORT WAYNE
State IN
Zip Code 46802-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265618722 Nicholas J Hammond Physician Assistant 604 W Berry St, Fort Wayne, IN 46802-2106 2008-01-15
1881870350 Jamie Sue Oberkiser Registered Nurse 604 W Berry St, Fort Wayne, IN 46802-2106 2008-01-15
1396921854 Cheryl Lynn Bair Registered Nurse 604 W Berry St, Fort Wayne, IN 46802-2106 2008-01-15
1770692337 Naveen Lal Internal Medicine 604 W Berry St, Fort Wayne, IN 46802-2106 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
Find all providers in zip 46802

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780919886 Heart Care LLC Internal Medicine 7806 W Jefferson Blvd, Suite D, Fort Wayne, IN 46804-4180 2009-10-07
1003078312 Dustin M Thomas Internal Medicine 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 2008-06-27
1174625065 Baltes Cardiology Internal Medicine 821 Broadway, Fort Wayne, IN 46802-2107 2006-09-02
1821068511 Subhash Reddy Internal Medicine 7806 W Jefferson Blvd Ste D, Fort Wayne, IN 46804-4180 2006-01-25
1215917844 Gary A. Hambel Internal Medicine 11108 Parkview Circle Dr., Fort Wayne, IN 46845-1730 2006-01-19
1932199627 J. Rod Gimbel Internal Medicine 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 2005-10-25
1568464972 Raymond E Dusman Jr. Internal Medicine 1819 Carew St, Fort Wayne, IN 46805-4705 2005-08-15
1427058825 Motaz Shaher Internal Medicine 7916 W Jefferson Blvd, Fort Wayne, IN 46804 2005-07-28
1710986443 Lawrence E Gering Internal Medicine 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 2005-07-15
1376833129 Azriel Avezbadalov Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2011-04-13
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46802

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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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