MEDICARE: PAOLA MARCELA AMAYA DE LOPEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	35.148627	OH
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2080P0006X	Developmental - Behavioral Pediatrics Physician	35.148627	OH

General Provider Information

NPI Number	:	1053831651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAOLA MARCELA AMAYA DE LOPEZ MD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE ML 4002
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2545
Country	:	US
Telephone Number	:	513-636-4611
Fax Number	:	513-636-3800

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE ML 4002
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-2545
Country	:	US
Telephone Number	:	513-636-4611
Fax Number	:	513-636-3800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2017
Last Update Date	:	02/16/2024

Similar Medicare Providers

1235664905 — SHNEKA DONITA HUNTER LPN
Practice Location Address:

871 HEATHERSTONE DR
CINCINNATI, OH
45240-2545

Practice Phone: 513-312-3992
Practice Fax:

1215384714 — MEDACHECK
Practice Location Address:

602 MAIN ST , SUITE 401
CINCINNATI, OH
45202-2545

Practice Phone: 513-488-1111
Practice Fax:

1386404598 — LALISA FASANELLA ETC
Practice Location Address:

835 HEATHERSTONE DR
CINCINNATI, OH
45240-2545

Practice Phone: 513-304-6647
Practice Fax:

1265388524 — PAIGE ELIZABETH MILLER DDS
Practice Location Address:

3231 HARVEY AVE
CINCINNATI, OH
45229-3003

Practice Phone: 513-475-8000
Practice Fax:

1518813872 — ALLISON LYNN FOX
Practice Location Address:

3333 BURNET AVE
CINCINNATI, OH
45229-3026

Practice Phone: 513-636-4200
Practice Fax:

1457242190 — SYDNEY MCINNIS PT, DPT
Practice Location Address:

3430 BURNET AVENUE , 4007
CINCINNATI, OH
45229-2833

Practice Phone: 513-102-9576
Practice Fax:

Directions to “ PAOLA MARCELA AMAYA DE LOPEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.