Foung Lo, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42329 Issued in MN

Practice address

2680 Snelling Ave N
Suite 200
Roseville, MN 55113-1876

Phone

(651) 326-1600

Fax

(651) 326-1565

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sanford Clinic

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1194733535

  MN

  Medicare reassignment NPD
• US Pain and Rehabilitation Center, PA

  • Pain Clinic/Center
  • Saint Paul, MN
  • NPI 1043836406
  NPD Authorized official
• Specialized Treatment Services, Inc. - Brooklyn Park

  • Methadone Clinic
  • Brooklyn Park, MN
  • NPI 1023362027
  NPD
• Sanford Clinic

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Xpress Pain Center, P.a.

  • Medical Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1124567227
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1114083235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 SNELLING AVE N",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131876",
            "telephone_number": "651-326-1600",
            "fax_number": "651-326-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 SNELLING AVE N",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131876",
            "telephone_number": "651-326-1600",
            "fax_number": "651-326-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "FOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "42329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live Anew Counseling
• Live Better LLC
• Livewell Services LLC
• Living Light LLC
• Lo Medical Clinic
• Matthew James Loe, MD
• Loerzel Eye Care, LLC
• Daniel Loes, M.D
• Starlett Paige Logan, LPN
• Samantha Marie Lore, MD

• Family Medicine Physician in Roseville, MN
• Providers in Roseville, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.