Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miguel Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861269664

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
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Practice location Address checks out

17 Manhattan Sq
Hampton, VA 23666-5843
Phone: (757) 838-8030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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 number1861269664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 11, 2023
Last updated in NPPESJanuary 13, 2024
Certification dateJanuary 13, 2024
Mailing address7101 Hunters Chase, Norfolk, VA 23518-4449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
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 locations3 on file with Medicare

Other providers in Hampton