Active NPI
Shannon Theresa Lau, MD
- Obstetrics & Gynecology Physician
- Northfield, MN
National Provider Identifier
1114022746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 62012
- Practice address
- 2000 North Ave
Northfield, MN 55057-1498 - Phone
- (507) 646-1000
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | RT-1486 | NH | |
| Obstetrics & Gynecology Physician | 207V00000X | 62012 | MN | Primary |
Addresses
Primary practice location
2000 North Ave
Northfield, MN 55057-1498
Mailing address
2000 North Ave
Northfield, MN 55057-1498
Phone (507) 646-1000
Other names 1
- S. Theresa Lau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 30TH St NW
Faribault, MN 55021-1846
Phone (507) 333-5499
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT-1486 | NH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northfield Hospital | Current | Accepting new patients |
Locations
1980 30th St NW
Faribault, MN 55021
Phone (507) 333-5499
4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300
9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Acute Care Hospital
- Northfield, MN
- NPI 1417990805
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1114022746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571498",
"telephone_number": "507-646-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NORTH AVE",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550571498",
"telephone_number": "507-646-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "SHANNON",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "RT-1486",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "62012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "S.",
"last_name": "LAU",
"middle_name": "THERESA",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.