Mark D. Lopez
MD | Pediatric Emergency Medicine | Male
Mark D. Lopez, MD is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Mark D. Lopez is
1120 15th St, Augusta, Georgia - 30912-0004. He can be contacted on phone at
706-721-4951 and fax number 706-721-7941.
Mark D. Lopez is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark D. Lopez is
1053420257 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 09 Jul, 2007.
Mark D. Lopez license number is
049055 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Georgia.
Mark D. Lopez has special qualifications to manage emergencies in infants and children.
Complete Profile:
Mark D. Lopez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Mark D. Lopez |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark D. Lopez address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-4951 |
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| Fax Number : | 706-721-7941 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053420257 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Medicare Participation:
Mark D. Lopez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1254358328 |
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| Medicare Enrollment ID : | I20090211000366 |
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| Primary Specialty : | Emergency Medicine |
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| Medical School : | University Of Kansas School Of Med (kc/wich/sal) |
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| Graduation Year : | 1993 |
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| Accepts Medicare? | Yes. Mark D. Lopez accepts medicare insurance. |
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Group Practice Association:
Mark D. Lopez is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mark D. Lopez is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Au Medical Associates Emergency Medicine Billing Services, Llc | 3072823186 | 48 | 1499 Walton Way
Suite 1400
Augusta, GA - 309012603
Ph: 7067215505 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark D. Lopez are as mentioned. Primary taxonomy code for Mark D. Lopez, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 049055 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Mark D. Lopez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| G49055 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1499 Walton Way, Ste 1400
Augusta, GA, 30901-2602
United States |
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| Phone Number : | 706-828-6410 |
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| Fax Number : | 706-722-5187 |
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Business Location:
Patients can refer following map for directions to
Mark D. Lopez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.