Mark D. Lopez

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Mark D. Lopez basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Mark D. Lopez
Credential :	MD
Gender :	Male

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
Phone Number :	706-721-4951
Fax Number :	706-721-7941

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
NPI Entity Type :	Individual
First Enrolment Date :	30 Aug, 2006
Last Updated On :	09 Jul, 2007

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
Medicare Enrollment ID :	I20090211000366
Primary Specialty :	Emergency Medicine
Medical School :	University Of Kansas School Of Med (kc/wich/sal)
Graduation Year :	1993
Accepts Medicare?	Yes. Mark D. Lopez accepts medicare insurance.

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
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
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
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
Phone Number :	706-828-6410
Fax Number :	706-722-5187

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.