Provider Demographics
NPI:1265530182
Name:NG, XAVIER FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:FRANCIS
Last Name:NG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2561 N ROSEMONT CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67228-8020
Mailing Address - Country:US
Mailing Address - Phone:316-630-0609
Mailing Address - Fax:316-630-0564
Practice Address - Street 1:425 E 61ST ST N
Practice Address - Street 2:STE 2
Practice Address - City:PARK CITY
Practice Address - State:KS
Practice Address - Zip Code:67219-1960
Practice Address - Country:US
Practice Address - Phone:316-854-3200
Practice Address - Fax:316-260-4616
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-28465208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
F49294Medicare UPIN
KS100751Medicare ID - Type Unspecified