Individual provider Active NPI

Vincent G Lobo, DO

  • Family Medicine Physician
  • Harrington, DE
National Provider Identifier
1376587576
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C2-0000334 Issued in DE
Practice address
205 Shaw Ave
Harrington, DE 19952-1220
Phone
(302) 398-8704
Fax
(302) 398-8818
NPI assigned
Jun 16, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C2-0000334 DE Primary

Addresses

Primary practice location

205 Shaw Ave
Harrington, DE 19952-1220

Mailing address

PO Box 1036
Bethany Beach, DE 19930-1036
Phone (302) 242-6352

Other identifiers 9

IdentifierTypeStateIssuer
1000035903MedicaidDE
2369122000OtherDEAMERIHEALTH
P00225770OtherDEPALMETTO
202298856OtherDECOVENTRY
202298856OtherDEUNITED HEALTH CARE
4363549OtherDEAETNA PPO
66481OtherDEBCBSDE
3778895OtherDEAETNA HMO
3870195OtherDECIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20050420000335 DE Practitioner - Osteopathic Manipulative MedicinePractitioner - Optometry 6103864244 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C2-0000334DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Family Medicine CurrentSince May 30, 2009 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince May 30, 2009 Accepting new patients
Medical Center of Harrington Family Medicine PastSince Mar 1, 2005 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#742
Dover, DE 19901

205 Shaw Ave
Harrington, DE 19952
Phone (302) 398-8704

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1376587576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199301036",
            "telephone_number": "302-242-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHAW AVE",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199521220",
            "telephone_number": "302-398-8704",
            "fax_number": "302-398-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBO",
        "first_name": "VINCENT",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C2-0000334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000035903",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2369122000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00225770",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "202298856",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "202298856",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4363549",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSDE",
            "identifier": "66481",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3778895",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3870195",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrington, DE

Sources for this page

Verify at the official NPI Registry.