Active NPI
Hongnan Xu
- Clinical Pathology Physician
- Saint Louis, MO
National Provider Identifier
1053140939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 2024021850
- Practice address
- 4590 Nash Way
Saint Louis, MO 63110-1020 - Phone
- (314) 362-1935
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 2024021850 | MO | Primary |
Addresses
Primary practice location
4590 Nash Way
Saint Louis, MO 63110-1020
Mailing address
226 E Lockwood Ave Apt 209
Webster Groves, MO 63119-3005
Phone (203) 543-7977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024021850 | MO | MD | Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1053140939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 E LOCKWOOD AVE APT 209",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631193005",
"telephone_number": "203-543-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4590 NASH WAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101020",
"telephone_number": "314-362-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "HONGNAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "MO",
"license": "2024021850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.