Active NPI
Eddie P Lo DPM and Natalie T Chu DPM PLLC
- Podiatrist
- Tacoma, WA
National Provider Identifier
1679666333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO00000633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eddie P Lo, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480026920 | Other | WA | MEDICARE RAILROAD |
| 215605 | Other | WA | LABOR AND INDUSTIES |
| 7136294 | Medicaid | WA | |
| DF9966 | Other | WA | MEDICARE RAILROAD |
| 5197ED | Other | WA | REGENCE GROUP RIDER |
| 1106012 | Medicaid | WA | |
| 1106822 | Medicaid | WA | |
| 480028963 | Other | WA | MEDICARE RAILROAD |
| 5207100001 | Other | WA | DMEPOS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot Surgery Podiatrist
- Tacoma, WA
- NPI 1902847551
-
- Foot Surgery Podiatrist
- Tacoma, WA
- NPI 1770522369
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.