XIANWEN QIAO (NPI# 1285972885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285972885 |
Entity Type | Individual |
Full Name | XIANWEN QIAO |
Credential | CRNP |
Practice Address |
625 Rustic Lodge Rd Ste B Indiana PA 15701-3440 |
Mailing Address |
160 Mill Run Dr Indiana PA 15701-1532 |
Practice Telephone | 7244633720 |
Practice Fax Number | 7244636111 |
Mailing Telephone | 7243490670 |
Enumeration Date | 2013-01-17 |
Last Update Date | 2013-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP012605 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | NUMBER PENDING | 05 |
Street Address |
625 RUSTIC LODGE RD STE B |
City | INDIANA |
State | PA |
Zip Code | 15701-3440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679558746 | Shenggao Han | Internal Medicine | 625 Rustic Lodge Rd, Suite B, Indiana, PA 15701-3440 | 2005-12-13 |
1831682350 | Megan Shugarts | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2018-06-09 |
1619352820 | Shenggao Han Md LLC | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2015-07-29 |
1932598414 | Robert Paul Snyder | Internal Medicine | 625 Rustic Lodge Rd, Suite B, Indiana, PA 15701-3440 | 2015-01-21 |
1639577737 | Shenggao Han Md LLC | Internal Medicine | 625 Rustic Lodge Rd, Suite B, Indiana, PA 15701-3440 | 2014-12-05 |
1871997155 | John Clair | Physician Assistant | 625 Rustic Lodge Rd, Indiana, PA 15701-3440 | 2014-10-15 |
1710195888 | Jason Michael Sharbaugh | Internal Medicine | 625 Rustic Lodge Rd, Indiana, PA 15701-0000 | 2007-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
Find all providers in zip 15701 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072641 | Pinnacle Health Medical Services | Nurse Practitioner | 250 Fame Ave Ste 201, Hanover, PA 17331-1587 | 2020-10-28 |
1265044093 | Michelle Lynn Hurst | Nurse Practitioner | 1590 Medical Dr Ste A, Pottstown, PA 19464-3247 | 2020-08-21 |
1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
1437768413 | Stephanie Marie Lesseski | Nurse Practitioner | 2014 Creekside Dr, Edinboro, PA 16412-1458 | 2020-07-27 |
1588272959 | Elaine Michele Matisko | Nurse Practitioner | 56 Dorthea Street Ext, Houtzdale, PA 16651-8607 | 2020-07-21 |
1275155012 | Jamie Lee Auyeung | Nurse Practitioner | 2413 Lytle Rd, Bethel Park, PA 15102-2790 | 2020-05-14 |
1730715822 | Suzette Jones | Nurse Practitioner | Mid-state Occupational Health Services, Inc., 1000 Meade Street, Dunmore, PA 18512 | 2020-03-20 |
1841834710 | Joseph Mascaro | Nurse Practitioner | 125 S 9th St Ste 1005, Philadelphia, PA 19107-5123 | 2019-11-04 |
1477100311 | Larissa Marie Glowinski | Nurse Practitioner | 502 Vna Rd, East Stroudsburg, PA 18301-7965 | 2019-08-26 |
1295382232 | Marthe Adler | Nurse Practitioner | 300b Lawrence Dr, West Chester, PA 19380-4289 | 2019-08-23 |
Find all providers with the same taxonomy |
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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.