XIAO FANG III (NPI# 1063405587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405587 |
| Entity Type | Individual |
| Full Name | XIAO FANG III |
| Credential | M.D. |
| Practice Address |
200 Front St Vestal NY 13850-1559 |
| Mailing Address |
33 Lewis Rd 2nd Fl Binghamton NY 13905 |
| Practice Telephone | 6077487468 |
| Practice Fax Number | 6077546130 |
| Mailing Telephone | 6077298156 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | MD421168 | PA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
231141 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001967228 | 05 |
| Street Address |
200 FRONT ST |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533556 | Romeo Morales | Dermatology | 200 Front St, Vestal, NY 13850-1559 | 2005-07-28 |
| 1548871403 | Emily Baker | Student in an Organized Health Care Education/Training Program | 200 Front St, Vestal, NY 13850-1559 | 2020-08-13 |
| 1255895629 | Jessica Woodmansee | Registered Nurse | 200 Front St, Vestal, NY 13850-1559 | 2019-01-30 |
| 1609257468 | Kevin Hastings IIi | Nurse Practitioner | 200 Front St, Suite A, Vestal, NY 13850-1559 | 2015-06-17 |
| 1518366293 | Sergey Alentyev | Nurse Practitioner | 200 Front St, Ste C, Vestal, NY 13850-1559 | 2014-08-19 |
| 1841608825 | Marion Gnadt | Nurse Practitioner | 200 Front St, Ste C, Vestal, NY 13850-1559 | 2014-07-23 |
| 1033534573 | Joshua Hundley | Specialist | 200 Front St, Suite D, Vestal, NY 13850-1559 | 2014-02-20 |
| 1265865083 | Danielle Marie Van Gorder | Specialist | 200 Front St, Suite D, Vestal, NY 13850-1559 | 2013-08-15 |
| 1780943589 | Uzoma Oranu | Dermatology | 200 Front St, Vestal, NY 13850-1559 | 2012-05-14 |
| 1417239096 | Ashley Marie Hopkins | Physician Assistant | 200 Front St, Vestal, NY 13850-1554 | 2011-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| 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 |
|---|---|---|---|---|
| 1568571834 | Southern New York Neurosurgical Group | Physical Medicine & Rehabilitation | 200 Front St, Vestal, NY 13850-1559 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384535 | Mohammad Aalai Medical Pllc | Physical Medicine & Rehabilitation | 17 Richlee Ct Apt 1s, Mineola, NY 11501-3638 | 2020-10-22 |
| 1659923357 | Action Rehab Medicine Pllc | Physical Medicine & Rehabilitation | 88 Hamilton Dr, Roslyn, NY 11576-3129 | 2019-07-12 |
| 1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
| 1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
| 1215454905 | Medical Alliance of New Jersey PC | Physical Medicine & Rehabilitation | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2017-08-24 |
| 1215382445 | Westchester Pain Management | Physical Medicine & Rehabilitation | 83 S Bedford Rd Ste 100, Mount Kisco, NY 10549-3459 | 2016-04-25 |
| 1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
| 1629494570 | Brian Pekkerman | Physical Medicine & Rehabilitation | 2 Ohio Dr Ste 102, New Hyde Park, NY 11042-1111 | 2014-03-14 |
| 1649604661 | V-medical PC | Physical Medicine & Rehabilitation | 1069 Hempstead Tpke, Suite 4, Franklin Sq, NY 11010-2631 | 2013-08-27 |
| 1760825210 | Stephen Erosa | Physical Medicine & Rehabilitation | 1088 North Broadway, Yonkers, NY 10701 | 2013-04-15 |
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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.