Baogang J Xu (NPI# 1053731513, PAC ID# 7416220298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053731513 |
| PAC ID by PECOS | 7416220298 |
| Professional Enrollment ID | I20190611002313 |
| Full Name | Baogang J Xu |
| Organization Legal Name | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Address |
3000 Coliseum Dr Hampton VA 23666-5963 |
| Phone Number | 7577361621 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2769463702 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3000 Coliseum Dr, Hampton, VA 23666-5963 | 7577361621 | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Organization Legal Name | TIDEWATER DIAGNOSTIC IMAGING LTD |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Hall | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Ravi Vijay Shamaiengar | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Kevin K Woisard | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Edward Tindal Trapani | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Joshua Forrest Stephenson | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Chadwick Mills | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Bennie A Skinner | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Melinda Martin Dunn | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| James F Primich | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 100 Sentara Cir, Williamsburg, VA 23188-5713 |
| Nirjhor Sayed Bhowmik | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Street Address |
3000 COLISEUM DR |
| City | HAMPTON |
| State | VA |
| Zip | 23666-5963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis M Cruff | General Surgery | Sentara Medical Group | 3000 Coliseum Dr, Suite 200, Hampton, VA 23666-5963 |
| Sara Magdy Bouraee | Podiatry | Sara Bouraee LLC | 3000 Coliseum Dr, Suite 205, Hampton, VA 23666-5963 |
| Joshua Forrest Stephenson | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Chadwick Mills | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Mary Lydon Guye | Surgical Oncology | Sentara Medical Group | 3000 Coliseum Dr, Suite 200, Hampton, VA 23666-5963 |
| Matthew P Caldwell | Anesthesiology | Smg Anesthesia Specialists LLC | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Patricia K Robbins | Nurse Practitioner | Sentara Medical Group | 3000 Coliseum Dr, Suite 200, Hampton, VA 23666-5963 |
| Nirjhor Sayed Bhowmik | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Richard L Toothman | Diagnostic Radiology | Tidewater Diagnostic Imaging Ltd | 3000 Coliseum Dr, Hampton, VA 23666-5963 |
| Stacey Harris Tadlock | Nurse Practitioner | Sentara Medical Group | 3000 Coliseum Dr, Suite 200, Hampton, VA 23666-5963 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Rothfuss | Internal Medicine | 303 Butler Farm Rd, Suite 103, Hampton, VA 23666-1568 | |
| Tiffany N Jefferson | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Melody Blanco | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Charlena Cuffee | Clinical Social Worker | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| John D Ogram | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Lisa M Kelleher | Nurse Practitioner | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Peter Smith | Psychiatry | Hampton Newport News Community Services Board | 200 Medical Dr A, Hampton, VA 23666-1763 |
| Saphia Beckles | Nurse Practitioner | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Brenda J Williams | Clinical Social Worker | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Ashraful Huq | Psychiatry | Hampton Newport News Community Services Board | 400 Medical Dr A, Hampton, VA 23666-1767 |
| Find all physicians in zip 23666 | |||
| City | HAMPTON |
| Zip Code | 23666 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HAMPTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Baogang J Xu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.