Provider Demographics
NPI:1811994965
Name:LOPEZ, FRANCISCO D (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:D
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2667
Mailing Address - Country:US
Mailing Address - Phone:740-283-7597
Mailing Address - Fax:740-283-7190
Practice Address - Street 1:1800 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:OH
Practice Address - Zip Code:43964-1949
Practice Address - Country:US
Practice Address - Phone:740-537-5055
Practice Address - Fax:740-537-5060
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.054603207R00000X
WV14536207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0072085000Medicaid
OH0713179Medicaid
PA0014668310001Medicaid
OHP00999627OtherRR MEDICARE
C03400Medicare UPIN
OHL04025783Medicare ID - Type Unspecified
PA0014668310001Medicaid
OHH052820Medicare PIN