Ninrong Xue Giebisch, M.D.,PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036383 Issued in CT

Practice address

200 Watson Blvd
Stratford, CT 06615-7127

Phone

(203) 381-4917

Fax

(203) 381-4004

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ninrong Xue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275657223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FOREST GLEN DR",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251422",
            "telephone_number": "203-387-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WATSON BLVD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157127",
            "telephone_number": "203-381-4917",
            "fax_number": "203-381-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEBISCH",
        "first_name": "NINRONG",
        "middle_name": "XUE",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "036383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINRONG",
            "last_name": "XUE",
            "prefix": "DR.",
            "credential": "M.D.,PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Stratford, CT
• Providers in Stratford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.