Active NPI
David J Lofgren, MD
- Family Medicine Physician
- La Crosse, WI
National Provider Identifier
1346247236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24201
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Jul 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30684 | MN | |
| Family Medicine Physician | 207Q00000X | 24201 | WI | Primary |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Other practice location 1
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105859 | Other | UCARE MN | |
| 380G81O | Other | BCBS MN | |
| 905632 | Other | AMERICAS PPO MN | |
| 0122268 | Other | MEDICA MN | |
| 242383900 | Medicaid | MN | |
| 41084933956001C228 | Other | CHAMPUS | |
| HP19586 | Other | HEALTH PARTNERS MN | |
| NA2951015704 | Other | PREFERRED ONE MN |
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 |
|---|---|---|---|
| CCM Health | Past | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
| Southwest Ophthalmology Associates, P.a. | Past | Accepting new patients |
Interoperability endpoints
- dlofgren61345@direct.gundersenhealth.org
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- La Crosse, WI
- NPI 1013943893
Family Medicine
-
- Rural Health Clinic/Center
- Milan, MN
- NPI 1457132466
-
- Ophthalmology Physician
- Marshall, MN
- NPI 1306899323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346247236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18601 LINCOLN ST",
"city": "WHITEHALL",
"state": "WI",
"postal_code": "547738605",
"telephone_number": "715-538-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
}
],
"practiceLocations": [
{
"address_1": "18601 Lincoln St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "WI",
"postal_code": "547738605",
"country_code": "US",
"telephone_number": "715-538-4361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFGREN",
"first_name": "DAVID",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "30684",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "24201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE MN",
"identifier": "105859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "380G81O",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO MN",
"identifier": "905632",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA MN",
"identifier": "0122268",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242383900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "41084933956001C228",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS MN",
"identifier": "HP19586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE MN",
"identifier": "NA2951015704",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.