Organization Active NPI

Frederic Luo, MD, Msee, Inc

  • Internal Medicine Physician
  • Lake Havasu City, AZ
National Provider Identifier
1043493950
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31254 Issued in AZ
Legal business name
FREDERIC LUO, MD, MSEE, INC
Practice address
1801 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5664
Phone
(480) 888-1900
Fax
(480) 888-1934
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. F Luo, MD
Title
President
Phone
(480) 888-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31254 AZ Primary

Addresses

Primary practice location

1801 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5664

Mailing address

1801 Mesquite Ave
Suite 102
Lake Havasu City, AZ 86403-5664
Phone (480) 888-1900

National Provider Directory

National Provider Directory

Locations

1801 Mesquite Ave
Ste 102
Lk Havasu Cty, AZ 86403
Phone (480) 888-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1043493950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MESQUITE AVE",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035664",
            "telephone_number": "480-888-1900",
            "fax_number": "480-888-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MESQUITE AVE",
            "address_2": "SUITE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035664",
            "telephone_number": "480-888-1900",
            "fax_number": "480-888-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC LUO, MD, MSEE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-888-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.