Organization Active NPI

Eddie P Lo DPM and Natalie T Chu DPM PLLC

  • Podiatrist
  • Tacoma, WA
National Provider Identifier
1679666333
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000633 Issued in WA
Legal business name
EDDIE P LO DPM AND NATALIE T CHU DPM PLLC
Practice address
2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone
(253) 572-4848
Fax
(253) 572-1803
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Eddie P Lo, DPMNPI 1902847551
Title
Physician/Owner
Phone
(253) 572-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO00000633 WA Primary

Addresses

Primary practice location

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333

Mailing address

2302 S Union Ave Ste B18
Tacoma, WA 98405-1333
Phone (253) 572-4848

Other identifiers 9

IdentifierTypeStateIssuer
480026920OtherWAMEDICARE RAILROAD
215605OtherWALABOR AND INDUSTIES
7136294MedicaidWA
DF9966OtherWAMEDICARE RAILROAD
5197EDOtherWAREGENCE GROUP RIDER
1106012MedicaidWA
1106822MedicaidWA
480028963OtherWAMEDICARE RAILROAD
5207100001OtherWADMEPOS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000368 WA Part B Supplier - Clinic/Group Practice 0941200299 Receives reassigned benefits from 2 practitioners
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

2302 S Union Ave
Ste B18
Tacoma, WA 98405
Phone (253) 572-4848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1679666333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-572-4848",
            "fax_number": "253-572-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE B18",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051333",
            "telephone_number": "253-572-4848",
            "fax_number": "253-572-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE P LO DPM AND NATALIE T CHU DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "253-572-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480026920",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTIES",
            "identifier": "215605",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136294",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF9966",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP RIDER",
            "identifier": "5197ED",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106012",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106822",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480028963",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "5207100001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.