Active NPI
Anthony Lo, DPM
- Foot & Ankle Surgery Podiatrist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P000000325
- Practice address
- 515 Minor Ave.
Suite 240
Seattle, WA 98104-2133 - Phone
- (206) 386-9668
- Fax
- (206) 386-9544
- NPI assigned
- Oct 19, 2006
- Last updated
- Apr 5, 2016
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P206 | HI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P000000325 | WA | Primary |
Addresses
Primary practice location
515 Minor Ave.
Suite 240
Seattle, WA 98104-2133
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001072 | Medicaid | WA | |
| P00461226 | Other | WA | PALMETTO / RR MEDICARE |
| 5891740001 | Other | WA | DME |
| 6815LO | Other | WA | REGENCE |
| 225904 | Other | WA | LABOR & INDUSTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
515 Minor Ave
Suite 240
Seattle, WA 98104-2133
Phone (206) 420-3119
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P206 | HI | MD | Podiatrist |
| P000000325 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Vascular & Surgical Care Northwest, PLLC | Current | Accepting new patients | |
| East Hill Foot and Ankle Clinic | Foot & Ankle Surgery | Past | Accepting new patients |
| Proliance Surgeons Inc PS | Past | Accepting new patients |
Locations
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
3236 78th Ave SE
Ste 200
Mercer Island, WA 98040
Phone (206) 275-5060
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
3400 California Ave SW
Ste 210
Seattle, WA 98116
Phone (206) 215-6900
515 Minor Ave
Ste 240
Seattle, WA 98104
Phone (206) 386-9668
5350 Tallman Ave NW
Ste 301
Seattle, WA 98107
Phone (206) 320-3335
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
901 Boren Ave
Ste 712
Seattle, WA 98104
Phone (206) 624-9876
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- Seattle, WA
- NPI 1427321405
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgical Specialists of Edmonds
- Surgery Physician
- Edmonds, WA
- NPI 1073540894
-
- Foot & Ankle Surgery Podiatrist
- Kent, WA
- NPI 1063691012
-
dba Minor and James Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1891776233
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1649352527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MINOR AVE.",
"address_2": "SUITE 240",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042133",
"telephone_number": "206-386-9668",
"fax_number": "206-386-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "ANTHONY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "HI",
"license": "P206",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "P000000325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001072",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO / RR MEDICARE",
"identifier": "P00461226",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "5891740001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "6815LO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "225904",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.