EDWARD YU QIAO (NPI# 1194068072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194068072 |
| Entity Type | Individual |
| Full Name | EDWARD YU QIAO |
| Credential | D.O. |
| Practice Address |
130 Morris Rd Circleville OH 43113 |
| Mailing Address |
130 Morris Rd Circleville OH 43113-1362 |
| Practice Telephone | 7404208025 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
34.012662 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0217838 | 05 |
| Street Address |
130 MORRIS RD |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295816288 | Daniel Ianni | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| 1356992515 | Brock Chamberlain | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2019-09-27 |
| 1457813156 | Madison L Kinder | Physical Therapist | 130 Morris Rd, Circleville, OH 43113-1362 | 2019-04-02 |
| 1275879348 | Daniel H Terbush | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2012-12-18 |
| 1831452580 | Michael Stephen Nickoli | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113 | 2012-06-18 |
| 1013218874 | Donald Dibenedetto | Registered Nurse | 130 Morris Rd, Circleville, OH 43113-1362 | 2010-11-10 |
| 1801979976 | Orthopaedic & Sports Medicine Center, Inc | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-23 |
| 1700967692 | James Glenn Castillo | Physician Assistant | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| 1932280906 | Michael Scott Lefkowitz | Orthopaedic Surgery | 130 Morris Rd, Circleville, OH 43113-1362 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043529696 | Sportscare Physicians | Internal Medicine | 2865 N Reynolds Rd Ste 140, Toledo, OH 43615-2069 | 2010-09-30 |
| 1831190313 | Michael J Kellis | Internal Medicine | 150 Seventh Ave, Suite 200, Chardon, OH 44024-2908 | 2005-08-09 |
| 1740286673 | Michael Scarpone | Internal Medicine | 3151 Johnson Rd Ste 2, Steubenville, OH 43952-2362 | 2005-06-24 |
| 1154976058 | Sarah Mae Tracey | Internal Medicine | 5680 Venture Dr, Dublin, OH 43017-2190 | 2019-08-07 |
| 1548304074 | Promedica Central Physicians, LLC | Internal Medicine | 2865 N Reynolds Rd, Suite 130, Toledo, OH 43615-2068 | 2007-02-17 |
| 1285727552 | Julie M Kerr | Internal Medicine | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-10-01 |
| 1962428557 | Richard So | Internal Medicine | 20800 Westgate Mall, Suite 400, Fairview Park, OH 44126-1323 | 2006-07-15 |
| 1003871575 | Paul J Gubanich | Internal Medicine | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2006-04-19 |
| 1063402949 | Henry Albert Stiene | Internal Medicine | 6480 Harrison Ave, Suite 201, Cincinnati, OH 45247-7961 | 2005-10-24 |
| City | CIRCLEVILLE |
| Zip Code | 43113 |
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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.