Active NPI
Fred Clinton Lovrien, MD
- Nuclear Medicine Physician
- Sioux Falls, SD
National Provider Identifier
1497751341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 2292
- Practice address
- 1205 S Grange Ave
Ste 301
Sioux Falls, SD 57105-0407 - Phone
- (605) 328-2170
- Fax
- (605) 328-2171
- NPI assigned
- Jun 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2292 | SD | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2292 | SD | |
| Nuclear Medicine Physician | 207U00000X | 2292 | SD | Primary |
Addresses
Primary practice location
1205 S Grange Ave
Ste 301
Sioux Falls, SD 57105-0407
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6620048 | Medicaid | SD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2292 | SD | MD | Nuclear Medicine Physician |
| 0362 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DMS Imaging Inc | Past | Accepting new patients | |
| DMS Imaging Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mobile Radiology Clinic/Center
- Fargo, ND
- NPI 1477503209
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Fargo, ND
- NPI 1912180142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1497751341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-2170",
"fax_number": "605-328-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S GRANGE AVE",
"address_2": "STE 301",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571050407",
"telephone_number": "605-328-2170",
"fax_number": "605-328-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVRIEN",
"first_name": "FRED",
"middle_name": "CLINTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "2292",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "SD",
"license": "2292",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "SD",
"license": "2292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6620048",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.