MATTHEW SENG THAO


Address: 1470 Gervais Ave, Maplewood, MN 55109
Phone: 6512309093

MATTHEW SENG THAO (NPI# 1700264751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700264751
Entity Type Individual
Full Name MATTHEW SENG THAO
Practice Address 1470 Gervais Ave
Maplewood
MN 55109
Mailing Address 1470 Gervais Ave
Maplewood
MN 55109-2050
Practice Telephone 6512309093
Mailing Telephone 6512309093
Enumeration Date 2015-05-11
Last Update Date 2015-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program D734045708114 MN Student, Health Care

Office Location

Street Address 1470 GERVAIS AVE
City MAPLEWOOD
State MN
Zip Code 55109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063828 Jodi May Begordis Registered Nurse 2586 7th Ave East, Suite 302, North St Paul, MN 55109 2020-05-06
1467917146 Alejandro Diez Freire Social Worker 2468 Germain St, Maplewood, MN 55109 2019-02-06
1679099667 Rochelle Marie Clarke Registered Nurse 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 2017-08-21
1497298210 Salams Care Residential, LLC Home Health 2240 Ide Ct, Maplewood, MN 55109 2016-11-28
1093199630 Garry Allen Psychologist 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 2015-07-14
1326458340 Chong Chang Counselor 1705 Cope Ave E Ste I, Maplewood, MN 55109 2014-04-29
1619396488 Leah Anne Downey Occupational Therapist 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 2014-04-09
1356765440 Group Health Plan, Inc Clinic/Center 2520 12th Ave E, North St Paul, MN 55109 2014-02-10
1336560275 Veneman Dental Care, Pa Dentist 1774 Cope Ave, Suite 110, Maplewood, MN 55109 2013-12-19
1104173723 Coventry Senior Living of Maplewood, LLC Home Health 1870 East Shore Drive, Maplewood, MN 55109 2012-08-14
Find all providers in zip 55109

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487142980 Monica Goodrich Student in an Organized Health Care Education/Training Program Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 2018-04-30
1821252305 Manli Jiang Student in an Organized Health Care Education/Training Program 2785 White Bear Ave, Ste 108 B, Maplewood, MN 55109 2008-07-15
1194349100 Amanda Amos Student in an Organized Health Care Education/Training Program 2103 County Road D E Ste B, Maplewood, MN 55109-5358 2020-06-05
1992363030 Nnenna Mary Emeghara Student in an Organized Health Care Education/Training Program 21 Union Ave, Maplewood, NJ 07040-1513 2019-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154921047 Liesa Clare Erickson Student in an Organized Health Care Education/Training Program 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 2020-10-29
1639779804 Chelsie Meemken Student in an Organized Health Care Education/Training Program 505 Bluebird Ct, Sartell, MN 56377-1633 2020-10-27
1134729486 Anna R Spiczka Student in an Organized Health Care Education/Training Program 10689 108th Ave N, Hanover, MN 55341-4124 2020-10-27
1558961003 Maren Elizabeth Iverson Student in an Organized Health Care Education/Training Program 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 2020-10-26
1275132003 Faizo A Hersi Student in an Organized Health Care Education/Training Program 9700 International Dr Suite 300, Bloomington, MN 55425 2020-10-22
1467059048 Ashli Willow Boehm Student in an Organized Health Care Education/Training Program 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 2020-10-06
1174130421 Carolyne Copley Student in an Organized Health Care Education/Training Program 226 2nd St Sw, Rochester, MN 55905-0001 2020-09-29
1023624483 Katherine Hailey Lake Student in an Organized Health Care Education/Training Program 16415 Temple Dr, Minnetonka, MN 55345-3431 2020-09-21
1235745027 Andrew Ryan Mcnamara Student in an Organized Health Care Education/Training Program 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 2020-09-17
1740895770 Arielle Johnson Student in an Organized Health Care Education/Training Program 1162 Thomas Ave, Saint Paul, MN 55104-2538 2020-09-15
Find all providers with the same taxonomy

Competitor

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City MAPLEWOOD
Zip Code 55109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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