Individual provider Active NPI

Onna Lau, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1609372309
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
E-14789 Issued in AR
Practice address
1740 E Fort Lowell Rd Ste 100
Tucson, AZ 85719-2384
Phone
(520) 613-0001
Fax
(520) 504-6481
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-14789 AR
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X E-14789 AR Primary

Addresses

Primary practice location

1740 E Fort Lowell Rd Ste 100
Tucson, AZ 85719-2384

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other names 1

  • On NA Lau Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221020000881 AR Practitioner - Geriatric MedicinePractitioner - Family Practice 0446508980 Reassigns benefits to 1 organization
I20241016003314 AZ Practitioner - Family Practice 0446508980 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Sep 7, 2022 Accepting new patients
University of Arkansas for Medical Science CurrentSince Sep 7, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current Accepting new patients
Archwell Health Professional Services of Arizona, LLC Geriatric Medicine CurrentSince Oct 10, 2024 Accepting new patients

Locations

629 Jack Stephens Dr
Little Rock, AR 72205
Phone (501) 526-5770

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#530
Little Rock, AR 72205
Phone (501) 686-6560

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

2265 W Ina Rd
Tucson, AZ 85741
Phone (520) 702-3637

1740 E Fort Lowell Rd
Ste 100
Tucson, AZ 85719
Phone (520) 613-0001

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1609372309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E FORT LOWELL RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192384",
            "telephone_number": "520-613-0001",
            "fax_number": "520-504-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "ONNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14789",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E-14789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ON NA",
            "last_name": "LAU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.