Jose A Lopez Lago (NPI# 1861440950, PAC ID# 1759339708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1861440950 |
| PAC ID by PECOS | 1759339708 |
| Professional Enrollment ID | I20050407000613 |
| Full Name | Jose A Lopez Lago |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Address |
875 Friendship Rd Tallassee AL 36078-1234 |
| Phone Number | 3342833111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1969 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2062408487 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010034 | COMMUNITY HOSPITAL INC |
| 010120 | MONROE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 805 Friendship Rd, Tallassee, AL 36078-1234 | 3342836541 | COMMUNITY HOSPITAL INC |
| 875 Friendship Rd, Tallassee, AL 36078-1234 | 3342833111 | COMMUNITY HOSPITAL INC |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Deray Williams | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1256 |
| Barbara J Watts | Nurse Practitioner | Community Hospital Inc | 115 Herren Hill Rd, Tallassee, AL 36078-1276 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Thomas D Holt | Family Medicine | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Candace R Mangum | Nurse Practitioner | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Street Address |
875 FRIENDSHIP RD |
| City | TALLASSEE |
| State | AL |
| Zip | 36078-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deray Williams | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1256 |
| Melvin Douglas Russell | Family Medicine | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| John Ryan Aldridge | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Lori M Mosley | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Alexander Robbins | General Surgery | 875 Friendship Rd, Tallassee, AL 36078-1256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Paul Caudill Miller | Neurology | Neurology Consultants of Montgomery, PC | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Kenneth W Campbell | Certified Registered Nurse Anesthetist (crna) | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Donald H Dahlene Jr. | Diagnostic Radiology | Radiology Group, P.a. | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Brandie Jolly | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Find all physicians in zip 36078 | |||
| City | TALLASSEE |
| Zip Code | 36078 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TALLASSEE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jose A Lopez Lago.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.