Active NPI
Thavij David Burapavong, M.D.
- Specialist
- High Point, NC
National Provider Identifier
1922063023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 416 Gatewood Ave
High Point, NC 27262-4718 - Phone
- (336) 882-2531
- Fax
- (336) 884-8254
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
416 Gatewood Ave
High Point, NC 27262-4718
Mailing address
416 Gatewood Ave
High Point, NC 27262-4718
Phone (336) 882-2531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07194 | Other | NC | BLUE CROSS BLUE SHIELD |
| 1310041 | Other | NC | UNITED HEALTHCARE |
| 7901794 | Medicaid | NC | |
| 5987957-001 | Other | NC | CIGNA HEALTHCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Point Plastic Surgery Associates, Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- High Point, NC
- NPI 1831134196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1922063023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 GATEWOOD AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624718",
"telephone_number": "336-882-2531",
"fax_number": "336-884-8254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 GATEWOOD AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624718",
"telephone_number": "336-882-2531",
"fax_number": "336-884-8254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURAPAVONG",
"first_name": "THAVIJ",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07194",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1310041",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901794",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "5987957-001",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.