Individual provider Active NPI

Vivian Sze Ting Lo, D.O

  • Internal Medicine Physician
  • Olive Branch, MS
National Provider Identifier
1932424595
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22451 Issued in MS
Practice address
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone
(662) 932-9111
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22451 MS Primary
Internal Medicine Physician 207R00000X 2349 TN
Emergency Medicine Physician 207P00000X 22451 MS

Addresses

Primary practice location

4250 Bethel Rd
Olive Branch, MS 38654-8737

Mailing address

695 Robertson Way
Hernando, MS 38632-2233
Phone (870) 394-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20120607000546 TN Practitioner - Emergency Medicine 1557525300 Reassigns benefits to 7 organizations
I20130823000597 MS Practitioner - Internal MedicinePractitioner - Emergency Medicine 1557525300 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Germantown Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Jun 13, 2022 Accepting new patients
Methodist North Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Carr PLLC Emergency Medicine CurrentSince May 13, 2016 Accepting new patients
Olive Branch Emergency Physicians LLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Prism Medical Group, PLC Emergency Medicine Past Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

Interoperability endpoints

  • Direct secure messaging: vlo34763@mlh.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1932424595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 ROBERTSON WAY",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322233",
            "telephone_number": "870-394-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BETHEL RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548737",
            "telephone_number": "662-932-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "VIVIAN",
        "middle_name": "SZE TING",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "22451",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2349",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "22451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.