XIAOHUI'S MEDICAL, LLC (NPI# 1518297977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518297977 |
| Entity Type | Organization |
| Organization Name | XIAOHUI'S MEDICAL, LLC |
| Other Organization Name | SELECT PAIN AND SPINE CENTER |
| Practice Address |
618 Maple Valley Dr Farmington MO 63640-1976 |
| Mailing Address |
608 Maple Valley Dr Farmington MO 63640-1976 |
| Practice Telephone | 5737563400 |
| Practice Fax Number | 5737560800 |
| Mailing Telephone | 5737563400 |
| Mailing Fax Number | 5737560800 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | DR. XIAOHUI FAN (OWNER) |
| Authorized Official Telephone | 5737563400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILROAD | DQ2035 | 01 |
| Other Name | Type Code |
|---|---|
| Select Pain and Spine Center | Doing Business As Name - Organization |
| Street Address |
618 MAPLE VALLEY DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577421 | Stephen W Orr | Chiropractor | 618 Maple Valley Dr, Farmington, MO 63640-1976 | 2005-09-08 |
| 1235527763 | Rebecca Buchanan | Nurse Practitioner | 618 Maple Valley Dr, Farmington, MO 63640-1976 | 2015-01-06 |
| 1174951503 | Lacey Sullivan | Nurse Practitioner | 618 Maple Valley Dr, Farmington, MO 63640 | 2013-10-22 |
| 1386703197 | Mark Medley | Chiropractor | 618 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-12-07 |
| 1245276252 | Xiaohul Fan | Physical Medicine & Rehabilitation | 618 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-06-20 |
| 1134171531 | James N Moore | Family Medicine | 618 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879471 | P.r.i.m.e. Health Centers - Chesterfield, LLC | Physical Medicine & Rehabilitation | 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 | 2019-06-10 |
| 1396300505 | Russell Thurman | Physical Medicine & Rehabilitation | 305 Thornbrooke Dr, Rogersville, MO 65742-8737 | 2019-05-02 |
| 1841753209 | Ap Medical | Physical Medicine & Rehabilitation | 1131 W Main St Ste A, Blue Springs, MO 64015-3698 | 2019-04-11 |
| 1043774821 | Riley Stowe | Physical Medicine & Rehabilitation | 1301 Tullison Rd, Kansas City, MO 64116-2640 | 2019-01-26 |
| 1043762974 | St Louis Spine and Joint Pain Specialists LLC | Physical Medicine & Rehabilitation | 520 Center Street, Fenton, MO 63026-4246 | 2016-10-26 |
| 1477843985 | Diana Mekler | Physical Medicine & Rehabilitation | 1365 Nykiel Ct, Ballwin, MO 63011-4246 | 2011-04-18 |
| 1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
| 1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
| 1619081890 | Nehal P Modh | Physical Medicine & Rehabilitation | 1145b E Gannon Dr, Festus, MO 63028-2611 | 2006-08-18 |
| 1316908155 | Nabil Ahmad | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 | 2006-03-31 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.