Active NPI
Ann C Lowry, MD
- Colon & Rectal Surgery Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 30280
- Practice address
- 6565 France Ave S
Suite 375
Edina, MN 55435-2137 - Phone
- (651) 312-1700
- Fax
- (651) 312-1570
- NPI assigned
- Aug 5, 2006
- Last updated
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 30280 | MN | Primary |
Addresses
Primary practice location
6565 France Ave S
Suite 375
Edina, MN 55435-2137
Mailing address
3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759
Phone (651) 312-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178285100 | Medicaid | MN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30280 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Family Medicine | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
2800 Chicago Ave
Ste 300
Minneapolis, MN 55407
Phone (651) 225-7800
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fairview Northland Regional Hospital | Hospital | Corporate Director | Jan 1, 2012 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fairview Diagnostic Laboratory
- General Acute Care Hospital
- Princeton, MN
- NPI 1841351749
Corporate Director
-
dba Fairview Northland Hospital
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
Corporate Director
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1174532881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3433 BROADWAY ST NE STE 115",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131759",
"telephone_number": "651-312-1500",
"fax_number": "651-312-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FRANCE AVE S",
"address_2": "SUITE 375",
"city": "EDINA",
"state": "MN",
"postal_code": "554352137",
"telephone_number": "651-312-1700",
"fax_number": "651-312-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "ANN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "MN",
"license": "30280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178285100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.