Umeng David Thao, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

47379 Issued in MN

Practice address

604 Bielenberg Dr
Suite 250
Woodbury, MN 55125-1414

Phone

(651) 730-4100

Fax

(651) 730-4107

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. David Thao Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1487733788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BIELENBERG DR",
            "address_2": "SUITE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251414",
            "telephone_number": "651-730-4100",
            "fax_number": "651-730-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 BIELENBERG DR",
            "address_2": "SUITE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251414",
            "telephone_number": "651-730-4100",
            "fax_number": "651-730-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "UMENG",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MN",
            "license": "47379",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MN",
            "license": "47379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430093900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "THAO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maylee Chang Thao, LPCC
• Michelle Suabcua Thao
• Mosicrown Thao, MA, LPCC
• Shengyeng Thao
• Sophia Thao
• Aimee Tharaldson
• Sunn Sunn H Thaw, M.D
• The Care Team
• The Neighborhood Center LLC
• The Oral Surgery Center

• Plastic Surgery Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.