Miguel Lopez
Miguel Lopez is a Physician Assistant in Hampton, Virginia. Qualified in 2023, 3 years ago. Practices with St Paul Place Specialists, Inc, a 339-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
Hampton, VANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 7101 Hunters Chase, Norfolk, VA 23518-4449 — (210) 364-9886
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1861269664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | January 13, 2024 |
| Certification date | January 13, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | St Paul Place Specialists, Inc. — 339 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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