JONATHAN LOPEZ MD
NPI 1124723341
Student in an Organized Health Care Education/Training Program in Clinton Twp, MI
About Jonathan Lopez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN LOPEZ MD (NPI 1124723341) is an individual student in an organized health care education/training program in Clinton Twp, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathan Lopez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48038
CLINTON TWP, MI 48038
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonathan Lopez's NPI number?
The NPI number for Jonathan Lopez is 1124723341. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Jonathan Lopez located?
Jonathan Lopez practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2300.
What is Jonathan Lopez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathan Lopez enrolled in Medicare?
Yes. Jonathan Lopez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jonathan Lopez was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonathan Lopez, MD · NPI 1124723341
Student in an Organized Health Care Education/Training Program provider in Clinton Twp, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1124723341 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15855 19 MILE RD, Clinton Twp, MI 48038-3504
- **Phone:** (586) 263-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124723341) · Data from the CMS NPPES public registry.