MR. GEOFFREY XIAO (NPI# 1790132017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790132017 |
| Entity Type | Individual |
| Full Name | MR. GEOFFREY XIAO |
| Credential | PA-C |
| Practice Address |
15895 Sw 72nd Ave Ste 250 Tigard OR 97224-7966 |
| Mailing Address |
1840 E Ray Rd Chandler AZ 85225-8720 |
| Practice Telephone | 5036245630 |
| Practice Fax Number | 5036249149 |
| Mailing Telephone | 8553970197 |
| Mailing Fax Number | 8002726512 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA178428 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2079317 | 05 | |
| OR | 500717752 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1547 Ne 40th Ave Ste B, Portland, OR 972321862 | 5032841937 | 5034341190 |
| Street Address |
15895 SW 72ND AVE STE 250 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588690887 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 15895 Sw 72nd Ave Ste 250, Bldg B, Tigard, OR 97224-7966 | 2006-06-25 |
| 1013933480 | Firas George Khoury | Internal Medicine | 15895 Sw 72nd Ave Ste 250, Tigard, OR 97224-7966 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1235327883 | Kelly Marie King | Physician Assistant | 13013 Sw Caddy Pl, Tigard, OR 97223-2892 | 2007-10-09 |
| 1679659718 | Ronald Todd Overmyer | Physician Assistant | 11900 Sw Greenburg Road, Tigard, OR 97223-6453 | 2006-10-31 |
| 1730522392 | Jessica Lieu | Physician Assistant | 11900 Sw Greenburg Rd, Tigard, OR 97223-6453 | 2013-04-14 |
| 1073744769 | Dyea L Summers | Physician Assistant | 18040 Sw Lower Boones Ferry Rd, Tigard, OR 97224-7258 | 2009-07-29 |
| 1508973330 | Valerie J Nipper | Physician Assistant | 7300 Sw Childs Rd, Tigard, OR 97224-7772 | 2006-08-25 |
| 1972610822 | Sheri Lyn Cameron | Physician Assistant | 7300 Sw Childs Rd, Tigard, OR 97224-7772 | 2006-08-24 |
| 1548234529 | Holly Rasmussen | Physician Assistant | 10215 Sw Hall Blvd, Tigard, OR 97223-8809 | 2006-02-15 |
| 1316911308 | Jill Gifford | Physician Assistant | 10215 Sw Hall Blvd, Tigard, OR 97223-8809 | 2006-02-15 |
| 1508849324 | Hong Diem Nguyen | Physician Assistant | 9735 Sw Shady Ln, #102, Tigard, OR 97223-5481 | 2005-11-25 |
| Find all providers in TIGARD | ||||
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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.