XIANWEN QIAO


Address: 625 Rustic Lodge Rd, Ste B, Indiana, PA 15701-3440
Phone: 7244633720

XIANWEN QIAO (NPI# 1285972885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA NUMBER PENDING 05

Office Location

Street Address 625 RUSTIC LODGE RD
STE B
City INDIANA
State PA
Zip Code 15701-3440

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City INDIANA
Zip Code 15701

Improve Information

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Dataset Information

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.

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