GARY S XIAO (NPI# 1043354616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043354616 |
| Entity Type | Individual |
| Full Name | GARY S XIAO |
| Credential | MD |
| Practice Address |
216 N Broad St 5th Fl Philadelphia PA 19102-1121 |
| Mailing Address |
230 N Broad St Philadelphia PA 19102-1121 |
| Practice Telephone | 2157623900 |
| Practice Fax Number | 2157623846 |
| Mailing Telephone | 2152553828 |
| Mailing Fax Number | 2152553577 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | MD426406 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD426406 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101877007 | 05 |
| Street Address |
216 N BROAD ST 5TH FL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667154 | Norman A Johanson | Orthopaedic Surgery | 216 N Broad St, 2nd Floor, Philadelphia, PA 19102-1121 | 2005-11-21 |
| 1104192558 | Gregory Malat | Pharmacist | 216 N Broad St, Ms 417 5th Floor Feinstein Bldg, Philadelphia, PA 19102-1121 | 2012-03-30 |
| 1841569167 | Andres Riera | Internal Medicine | 216 N Broad St, Philadelphia, PA 19102 | 2011-12-14 |
| 1376810192 | Roberto Eduarte Velasco | Nurse Practitioner | 216 N Broad St, 12318 New College Building, Philadelphia, PA 19102-1121 | 2011-11-22 |
| 1972886885 | Priscilla Bosacco | Nurse Practitioner | 216 N Broad St, Feinstein Building, 2nd Floor, Philadelphia, PA 19102-1121 | 2011-09-27 |
| 1972747285 | Jasjit Kaur Beausang | Obstetrics & Gynecology | 216 N Broad St, Floor 4 Feinstein Building, Philadelphia, PA 19102-1121 | 2009-04-30 |
| 1215192521 | Karen M Berkowitz | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Philadelphia, PA 19102-1121 | 2008-07-25 |
| 1417135161 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 216 N Broad St, 4th Floor, Feinstein, Philadelphia, PA 19102-1121 | 2008-02-05 |
| 1568647592 | Laird Jackson | Obstetrics & Gynecology | 216 N Broad St, Philadelphia, PA 19102-1121 | 2008-01-09 |
| 1023227444 | Lissa Beth Levin Mizrahi | Internal Medicine | 216 N Broad St, 5th Floor, Philadelphia, PA 19102-1121 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942687686 | Konstantinos Zorbas | Transplant Surgery | 3401 N. Board Street, Parkinson Pavilion - Zone C Suite 450, Philadelphia, PA 19140 | 2015-05-01 |
| 1538598214 | Frederick Vyas | Transplant Surgery | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2013-11-04 |
| 1952657835 | Somnath Chattopadhyay | Transplant Surgery | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2012-07-30 |
| 1548531312 | Rajeev Ranjan Sinha | Transplant Surgery | 2200 Benjamin Franklin Pkwy, Apt N-1702, Philadelphia, PA 19130-3601 | 2012-01-25 |
| 1437458577 | Akira Shiose | Transplant Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2011-03-15 |
| 1528212933 | Kwan Nang Lau | Transplant Surgery | 3401 N Broad St, 4th Fl Parkinson Pavilion, Philadelphia, PA 19140-5103 | 2008-11-12 |
| 1346491677 | Rolando Stalin Campos Flores | Transplant Surgery | 5401 Old York Rd, Suite 509, Philadelphia, PA 19141-3030 | 2008-10-06 |
| 1366651416 | Adam Seth Bodzin | Transplant Surgery | 1100 Walnut St Fl 5, Philadelphia, PA 19107-4944 | 2007-05-22 |
| 1770601627 | Trustees of The University of Pennsylvania | Transplant Surgery | 3400 Spruce St, 4th Floor Silverstein, Philadelphia, PA 19104-4206 | 2007-03-27 |
| 1992809610 | Drexel University | Transplant Surgery | 216 N Broad St, 5th Floor Feinstein, Philadelphia, PA 19102-1121 | 2006-09-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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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.