BO XU (NPI# 1558351759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558351759 |
| Entity Type | Individual |
| Full Name | BO XU |
| Credential | M.D. |
| Practice Address |
30 Shelburne Rd Stamford CT 06902-3628 |
| Mailing Address |
Po Box 60100 Charleston SC 29419-0100 |
| Practice Telephone | 2032764067 |
| Practice Fax Number | 2032767063 |
| Mailing Telephone | 8008877338 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
159935 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1558351759 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629028626 | Bo Xu | Nutritionist | 1307 Bluejay Ln, Plainfield, IL 60586-5423 | 2006-05-11 |
| 1568812519 | Bo Xu | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-20 |
| 1497989586 | Bo Xu | Pathology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2009-05-05 |
| 1497903082 | Bo Xu | Physician Assistant | 222 W 39th Ave, San Mateo, CA 94403-4364 | 2008-09-08 |
| 1679525596 | Bo Xu | Internal Medicine | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-05-17 |
| Street Address |
30 SHELBURNE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311984 | Pankil Desai | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-04-21 |
| 1033571229 | Rami Al-aref | Surgery | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-25 |
| 1508228198 | Borna Dabiri | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-03-23 |
| 1073971735 | Tyler Ferraro | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-09 |
| 1376901256 | Vanie Mangal | Physician Assistant | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2016-02-05 |
| 1487023115 | Cynthia Degracia | Spec/Tech, Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-09-23 |
| 1154708873 | Kelly Fellows | Obstetrics & Gynecology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2015-05-01 |
| 1932595360 | Somera Chaudhry | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| 1043606486 | Chao Guo | Internal Medicine | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902 | 2015-04-13 |
| 1043606320 | Madhuri Tirumandas | Student in an Organized Health Care Education/Training Program | 30 Shelburne Rd, Dept of Medicine, Stamford, CT 06902-3628 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821546003 | Vincent Marchesi | Pathology | 179 Prospect Ave, Guilford, CT 06437-3100 | 2016-09-15 |
| 1144647769 | Mark Mattie | Pathology | 1950 Litchfield Tpke, Woodbridge, CT 06525-1200 | 2014-03-20 |
| 1760640650 | Jonathan S.l Earle | Pathology | 111 Founders Plz Ste 300, East Hartford, CT 06108-8307 | 2008-05-28 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
| 1538221775 | Paul Jay Cohen | Pathology | 11 Bunker Hill Rd, Woodbridge, CT 06525-2508 | 2006-12-14 |
| 1700825700 | Yuhui Xu | Pathology | 200 Watson Blvd, Stratford, CT 06615-7127 | 2006-06-05 |
| 1295714632 | Alexander B West | Pathology | 1 Greenwich Pl, Shelton, CT 06484-4618 | 2006-01-13 |
| 1033117841 | Raffaella Morotti | Pathology | 310 Cedar St, Pathology Department, New Haven, CT 06510-3218 | 2005-07-14 |
| 1528477049 | Essent Healthcare of Connecticut Inc | Pathology | 50 Hospital Road, Sharon, CT 06069-2096 | 2014-08-08 |
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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.