Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902519994 Individual Practitioner Female Practitioner

Blake Fairchild Lopez , PA

Physician Assistant • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Blake Lopez, PA is a registered healthcare professional specializing in Physician Assistant in Birmingham, AL. Practice services are available at 1802 6TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1802 6th Ave S

Birmingham, AL 352331932

Telephone 2563289934
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
370 Specialists

Practicing in Birmingham, AL (1153 Statewide)

Telehealth Adoption Rate
5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-11-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL 2093

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Albert Lobuglio , MD

Internal Medicine - Hematology & Oncology

NPI 1003175399

Doctor of Medicine (M.D.)

Kathryn Mahaffey , PA-C

Physician Assistant

NPI 1003397324

Physician Assistant (Certified)

Heather Weller , CRNP

Nurse Practitioner - Acute Care

NPI 1003402033

Certified Registered Nurse Practitioner

Tyler Bishop

Registered Nurse

NPI 1003450867
Amy Brister

Nurse Anesthetist, Certified Registered

NPI 1003486143
Andrew Nolen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003553959

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address November 19, 2024

Registered at 4781 LONGMEADOW DR, BESSEMER, AL 350227015 (Tel: 2563289934)

👤
Provider Name / Credentials Updated November 19, 2024

Recorded as BLAKE LOPEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Physician Assistant (License #2093 in AL)

NPI Profile Active January 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2023

Registered at 1802 6TH AVE S, BIRMINGHAM, AL 352331932 (Tel: 2563289934)

📍
Updated Business Mailing Address January 04, 2023

Registered at 3886 JAMES HILL CIR, HOOVER, AL 352264706 (Tel: 2563289934)

👤
Provider Name / Credentials Updated January 04, 2023

Recorded as ASHLEY FAIRCHILD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 04, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902519994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2023
Last Update: November 19, 2024
Sole Proprietor: Yes

Mailing Address

4781 Longmeadow Dr

Bessemer, AL 350227015

Phone: 2563289934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.