SHU-GUANG XU (NPI# 1285684324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285684324 |
| Entity Type | Individual |
| Full Name | SHU-GUANG XU |
| Credential | MD |
| Practice Address |
50 Moisey Drive Suite 210 Hazleton PA 18202-9297 |
| Mailing Address |
Po Box 1347 Kingston PA 18704-0347 |
| Practice Telephone | 4848843333 |
| Mailing Telephone | 5702888881 |
| Mailing Fax Number | 5702888065 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD073527L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
50 MOISEY DRIVE SUITE 210 |
| City | HAZLETON |
| State | PA |
| Zip Code | 18202-9297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975992 | Peter W Kozicky | Orthopaedic Surgery | 50 Moisey Drive, Suite 202, Hazleton, PA 18202-9297 | 2005-07-12 |
| 1780010751 | Bonnie Gregory | Nurse Practitioner | 50 Moisey Drive, Suite 202, Hazleton, PA 18202-9297 | 2013-09-22 |
| 1003009606 | Plus 1 Rx, LLC | Pharmacy | 50 Moisey Drive, Suite 218, Hazleton, PA 18202-9296 | 2007-08-27 |
| 1689873473 | Daniel Gavio | Chiropractor | 50 Moisey Drive, Suite 206, Hazleton, PA 18202 | 2007-07-12 |
| 1356549273 | Valley Orthopedic Specialists Inc | Orthopaedic Surgery | 50 Moisey Drive, Suite 202, Hazleton, PA 18222 | 2007-07-03 |
| 1558400010 | Yaqoob Mohyuddin | Internal Medicine | 50 Moisey Drive, Suite 109, Hazleton, PA 18202 | 2007-02-05 |
| 1518031228 | Syed F Qadri | Physical Medicine & Rehabilitation | 50 Moisey Drive, Suite 206, Hazleton, PA 18202 | 2006-11-17 |
| 1851406821 | Hazleton Surgery Center, LLC | Clinic/Center | 50 Moisey Drive, Suite 100, Hazleton, PA 18202-9297 | 2006-08-20 |
| 1700839008 | Beechmont Anesthesia | Anesthesiology | 50 Moisey Drive, Suite 204, Hazleton, PA 18202 | 2006-05-18 |
| 1013918176 | Paula A Feeney | Nurse Anesthetist, Certified Registered | 50 Moisey Drive, Suite 204, Hazleton, PA 18202 | 2005-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428184 | Patch Town Emergency Physicians LLC | Emergency Medicine | 26 Station Circle, Hazleton, PA 18202 | 2017-10-17 |
| 1770015653 | Lauren Sanzi | Chiropractor | 426 Airport Beltway, 132a, Hazle Township, PA 18202 | 2017-03-30 |
| 1770913667 | Marian Filkins | Physical Therapy Assistant | 401-403 Hazle Township Blvd, Hazle Township, PA 18202 | 2013-11-14 |
| 1528305851 | Christian John Fink | Registered Nurse | 405 Winters Ave, West Hazleton, PA 18202 | 2013-01-07 |
| 1952639601 | Kathleen S. Veglia, M.d. | Pathology | 1525 N. Churct St., Hazle Township, PA 18202 | 2009-11-18 |
| 1407182447 | Sarah Marie Magula | Registered Nurse | 6 Diana Ln, West Hazleton, PA 18202 | 2009-10-27 |
| 1932354669 | Robert W. Zukoski | Technician/Technologist | 1097 No. Church St., Hazelton, PA 18202 | 2008-11-21 |
| 1699947085 | Dr Sandra M Krokos & Thomas P Kislan PC | Optometrist | 281 Airport Road, Hazle Township, PA 18202 | 2008-03-26 |
| 1952478349 | Joseph Serafin Pelly | Dentist | 20 East Broad St, West Hazelton, PA 18202 | 2006-11-29 |
| 1659457158 | Derek Enterprises | Physical Therapist | 106 Rotary Drive, Valmont Industrial Park, W Hazleton, PA 18202 | 2006-10-27 |
| Find all providers in zip 18202 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1013495332 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 306 S New St Ste 303, Bethlehem, PA 18015-1652 | 2018-07-30 |
| 1275875940 | Gerald F. Tremblay | Psychiatry & Neurology | 2242 Berks Rd, Lansdale, PA 19446-6026 | 2013-03-20 |
| 1548554082 | Sonika Agarwal | Psychiatry & Neurology | Buerger Center, 3500 Civic Center Blvd., Philadelphia, PA 19104 | 2011-06-01 |
| 1326369851 | Ilya Khaytin | Psychiatry & Neurology | 34st and Civic Center, Chop, Philadelphia, PA 19104 | 2010-06-18 |
| 1689869372 | Abington Pediatric Neurology Consultants,pc | Psychiatry & Neurology | 1917 Guernsey Ave, Abington, PA 19001-3701 | 2007-09-06 |
| 1508064445 | Sheila Joyce Asghar | Psychiatry & Neurology | 1010 W 8th Ave Fl 1, King of Prussia, PA 19406-1349 | 2007-07-03 |
| 1700949286 | Boosara Ratanawongsa | Psychiatry & Neurology | 961 Marcon Blvd Ste 452, Allentown, PA 18109-9366 | 2006-12-18 |
| 1477626141 | Agustin Legido | Psychiatry & Neurology | Erie Aenue, Front Street, Philadelphia, PA 19134 | 2006-11-17 |
| 1780621466 | Harold Huntley Hardison | Psychiatry & Neurology | St. Christopher's Pediatric Neurology, 3601 A Street, Philadelphia, PA 19134-1095 | 2006-06-01 |
| Find all providers with the same taxonomy | ||||
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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.