Song Luo, L.AC.MD, PHD, MPH

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00950 Issued in TX

Practice address

1950 Richmond Rd
Lyndhurst, OH 44124-3719

Phone

(216) 448-4325

NPI assigned

Feb 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1740458645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 CEDAR RD APT 1617",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221163",
            "telephone_number": "512-771-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243719",
            "telephone_number": "216-448-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16215 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441075618",
            "country_code": "US",
            "telephone_number": "216-237-5888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16761 Southpark Ctr",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441369302",
            "country_code": "US",
            "telephone_number": "440-878-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "SONG",
        "credential": "L.AC.MD, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Coyne Lipinski, LISW-S
• Latashya Robin Little
• Natasha Livits
• Rachon Nichelle Long
• Fraidy Lowenthal, SWT
• Luxottica Retail North America Inc (Pearle Vision #C6559)
• Lyndhurst Oh - Dr Joan Salido Inc (Ohio Children's Dentistry)
• Lyndhurst SNF Opco LLC (Heritage Healthcare of Lyndhurst)
• M & Y Care, LLC
• M & Y Care, LLC

• Acupuncturist in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.