Organization Active NPI

Ophas Vongxaiburana, MD,PC

  • Surgery Physician
  • Ranson, WV
National Provider Identifier
1558489195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10256 Issued in WV
Legal business name
OPHAS VONGXAIBURANA, MD,PC
Practice address
201 E 5TH Ave
Ranson, WV 25438-1613
Phone
(304) 725-9794
Fax
(304) 728-4794
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ophas Vongxaiburana, MDNPI 1689765042
Title
Owner
Phone
(304) 725-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 10256 WV Primary

Addresses

Primary practice location

201 E 5TH Ave
Ranson, WV 25438-1613

Mailing address

201 E 5TH Ave
Ranson, WV 25438-1613
Phone (304) 725-9794

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558489195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 5TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381613",
            "telephone_number": "304-725-9794",
            "fax_number": "304-728-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 5TH AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381613",
            "telephone_number": "304-725-9794",
            "fax_number": "304-728-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHAS VONGXAIBURANA, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONGXAIBURANA",
        "authorized_official_first_name": "OPHAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-725-9794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "10256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ranson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.