NATHAN LO (NPI# 1821397092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821397092 |
| Entity Type | Individual |
| Full Name | NATHAN LO |
| Credential | MD |
| Practice Address |
1300 W Terrell Ave Ste 500 Fort Worth TX 76104-2810 |
| Practice Telephone | 8172525000 |
| Practice Fax Number | 8172525016 |
| Mailing Telephone | 8172525000 |
| Mailing Fax Number | 8172525016 |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R8041 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
R8041 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1013577584 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-06-17 |
| Street Address |
1300 W TERRELL AVE STE 500 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412770 | Kayla Thornhill | Physician Assistant | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2020-06-17 |
| 1588209001 | Emily Christine Estes | Nurse Practitioner | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2019-11-07 |
| 1518466929 | Keri Allen | Nurse Practitioner | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2018-02-12 |
| 1114431335 | Hannah Ausloos | Physician Assistant | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2017-11-27 |
| 1750816989 | Keith Jon Armstrong | Nurse Practitioner | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2017-04-25 |
| 1255780839 | Dale Arocha | Physician Assistant | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2016-06-06 |
| 1306104765 | Tyler Lee Bloomer | Internal Medicine | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2012-04-23 |
| 1275819674 | Kathryn Corinne Moreland | Nurse Practitioner | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2011-10-30 |
| 1841599503 | Sofia Rowther Mathew | Physician Assistant | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2011-03-21 |
| 1770807612 | Nitin Krishnaji Kulkarni | Internal Medicine | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2010-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1134196546 | Lloyd W Brooks | Internal Medicine | 1201 Summit Ave Ste 500, Fort Worth, TX 76102-4428 | 2006-03-03 |
| 1912904491 | Giri D Mundluru | Internal Medicine | 844 Pennsylvania Ave, Ste 110, Fort Worth, TX 76104-2223 | 2005-06-30 |
| 1487279378 | Sn Cardiology Associates LLC | Internal Medicine | 800 8th Ave Ste 616, Fort Worth, TX 76104-2605 | 2020-06-16 |
| 1669980546 | Multispecialty Health Network of Texas LLC | Internal Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-01-13 |
| 1700308905 | Hayes Fejer | Internal Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2017-07-10 |
| 1104092741 | Juzar Lokhandwala | Internal Medicine | 1400 S Main St, Fort Worth, TX 76104-4909 | 2008-05-04 |
| 1982803458 | Arun K Padala | Internal Medicine | 1900 Mistletoe Blvd, Suite 100, Fort Worth, TX 76104-4050 | 2007-07-16 |
| 1083602452 | John Edward Willard | Internal Medicine | 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | 2005-10-11 |
| 1447247291 | John Lars Durand | Internal Medicine | 1300 W Terrell Ave, #500, Fort Worth, TX 76104-2800 | 2005-10-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on NATHAN LO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.