Active NPI
Loi Dai Vo, M.D.
- Internal Medicine Physician
- Leesville, LA
National Provider Identifier
1215911029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11402R
- Practice address
- 1017 W Fertitta Blvd
Leesville, LA 71446-4646 - Phone
- (337) 239-2606
- Fax
- (337) 238-5748
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11402R | LA | Primary |
Addresses
Primary practice location
1017 W Fertitta Blvd
Leesville, LA 71446-4646
Mailing address
1017 W Fertitta Blvd
Leesville, LA 71446-4646
Phone (337) 239-2606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1663328 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo Medical Clinic a Professional Medical Corporation | Internal Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Leesville, LA
- NPI 1790705002
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215911029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464646",
"telephone_number": "337-239-2606",
"fax_number": "337-238-5748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 W FERTITTA BLVD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464646",
"telephone_number": "337-239-2606",
"fax_number": "337-238-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "LOI",
"middle_name": "DAI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "11402R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1663328",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.