DR. ALBERT CHARLES LO (NPI# 1396730388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396730388 |
| Entity Type | Individual |
| Full Name | DR. ALBERT CHARLES LO |
| Credential | M.D. |
| Practice Address |
1405 W Park St Urbana IL 61801-2367 |
| Mailing Address |
2900 E 29th St Ste 100 Bryan TX 77802-2623 |
| Practice Telephone | 2173374310 |
| Practice Fax Number | 2175315477 |
| Mailing Telephone | 2173550926 |
| Mailing Fax Number | 2173551801 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 36-090682 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01032028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295822815 | Albert Lo | Psychiatry & Neurology | 950 Campbell Ave, Va Ct Healthcare System, #127, West Haven, CT 06516-2770 | 2006-10-06 |
| Street Address |
1405 W PARK ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815532 | Amy M Hall | Nurse Practitioner | 1405 W Park St, Urbana, IL 61801-2367 | 2019-01-23 |
| 1497121024 | Raine Center for Plastic Surgery, PC | Plastic Surgery | 1405 W Park St, Suite 206, Urbana, IL 61801-2367 | 2015-08-18 |
| 1093069015 | Joanna L Vannarath | Nurse Practitioner | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2012-10-29 |
| 1568688109 | Renal Research Institute LLC | Clinic/Center | 1405 W Park St, Suite 100, Urbana, IL 61801-2344 | 2007-04-18 |
| 1649367855 | Reynaldo E Tirona, M.d,, Ltd. | Internal Medicine | 1405 W Park St, Urbana, IL 61801-2344 | 2006-10-07 |
| 1902912678 | Talmage J Raine | Plastic Surgery | 1405 W Park St, Ste 206, Urbana, IL 61801-2365 | 2006-08-22 |
| 1770549420 | Frank J Lutrin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801 | 2006-04-21 |
| 1932161619 | Ronald M Cossman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1405 W Park St, Suite 303, Urbana, IL 61801-2367 | 2006-04-06 |
| 1184610263 | Jeffrey A. Glezer | Surgery | 1405 W Park St, Suite 301a, Urbana, IL 61801-2367 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053778522 | Holly Bowman | Specialist | 888 East Court Street, Urbana, OH 43078 | 2016-01-28 |
| 1275912149 | Sarah Brown | Specialist | 2719 Clark Rd, Urbana, OH 43078-9532 | 2015-05-26 |
| 1053685735 | Carl J. Belber | Specialist | 2105 S Mills Dr, Urbana, IL 61801-6741 | 2012-02-28 |
| 1518280320 | Aldred Arthur Heckman Jr. | Specialist | 2801 E Plantation Pt, Urbana, IL 61802-9435 | 2010-03-08 |
| 1821092891 | Ellen Jacobsen | Specialist | 407 W Springfield Ave, Urbana, IL 61801-8809 | 2005-06-08 |
| 1295964963 | Anastasia Barracks | Specialist | 808 W Main St, Urbana, IL 61801-2510 | 2009-07-02 |
| 1326276080 | Judith Barracks | Specialist | 808 W Main St, Urbana, IL 61801-2510 | 2009-07-01 |
| 1598883076 | Samatha Tipirneni | Specialist | 610 N. Lincoln Avenue, Urbana, IL 61801 | 2007-03-26 |
| 1750349676 | Adejimi O Adeniji | Specialist | 611 W Park St, Urbana, IL 61801-2529 | 2006-05-02 |
| 1447212733 | Sherfield Dawson IIi IIi | Specialist | 602 West University Avenue, General Surgery, Urbana, IL 61801 | 2006-04-04 |
| Find all providers in URBANA | ||||
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| 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.