Organization Active NPI

Romeo C Lo MD

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1013019413
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20551 Issued in WI
Legal business name
ROMEO C LO MD
Practice address
1672 S 9TH St
2ND Floor
Milwaukee, WI 53204
Phone
(414) 383-4700
Fax
(414) 383-4759
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Romeo C Lo, MD
Title
Owner
Phone
(414) 383-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 20551 WI Primary

Addresses

Primary practice location

1672 S 9TH St
2ND Floor
Milwaukee, WI 53204

Mailing address

1672 S 9TH St
2ND Floor
Milwaukee, WI 53204
Phone (414) 383-4700

Other identifiers 1

IdentifierTypeStateIssuer
30905700MedicaidWI

National Provider Directory

National Provider Directory

Locations

1672 S 9th St
Fl 2
Milwaukee, WI 53204
Phone (414) 383-4700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013019413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 S 9TH ST",
            "address_2": "2ND FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-383-4700",
            "fax_number": "414-383-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 S 9TH ST",
            "address_2": "2ND FLOOR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-383-4700",
            "fax_number": "414-383-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO C LO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-383-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "20551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30905700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.