DR. THAVORN LORUNGROCHANA (NPI# 1891807855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891807855 |
| Entity Type | Individual |
| Full Name | DR. THAVORN LORUNGROCHANA |
| Credential | M.D. |
| Practice Address |
4649 Nannie Helen Burroughs Ave Ne Washington DC 20019-3662 |
| Mailing Address |
12025 Apple Knoll Ct North Potomac MD 20878-2374 |
| Practice Telephone | 2023984700 |
| Practice Fax Number | 2023984701 |
| Mailing Telephone | 3018409482 |
| Mailing Fax Number | 3018409482 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD7557 | DC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | BLUE CROSS BLUE SHIELD | 3220-0001 | 01 |
| DC | AETNA HEALTHCARE | 2219400 | 01 |
| DC | AETNA CHOICE | 4053222 | 01 |
| DC | TRICARE | 274363 | 01 |
| Street Address |
4649 NANNIE HELEN BURROUGHS AVE NE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20019-3662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699704577 | Vishnu Earle Rampersaud | Family Medicine | 4649 Nannie Helen Burroughs Ave Ne, Washington, DC 20019-3662 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1033735170 | Regenia Elizabeth Sayles | Home Health Aide | 3924 Minnesota Ave Ne Washington, Dc, DC 20019 | 2020-06-24 |
| 1417578733 | Alycia Paige Heiner | Student in an Organized Health Care Education/Training Program | Parkside Health Center, 765 Kenilworth Terrace Ne, Washington, DC 20019 | 2020-04-27 |
| 1598398786 | Issa Munu | Technician | 45th Street Ne, 604, Washington, DC 20019 | 2020-02-17 |
| 1538708391 | Chanda Constance Mcmahan | Psychologist | 3320 Ames St. N.e., Washington, DC 20019 | 2019-12-27 |
| 1215582978 | Howard University | Clinic/Center | 4414-4430 Benning Road, Ne, Washington, DC 20019 | 2019-08-08 |
| 1255985776 | Kemba Kelton | Technician | 3204 1/2 East Capitol Street Nw, Washington, DC 20019 | 2019-08-01 |
| 1659930196 | Brittany Deshanta Fleming | Counselor | 1561 45th St Ne, Washington, DC 20019 | 2019-06-09 |
| 1346701299 | Chelsie Esek | Speech-Language Pathologist | 1234 Singleton Blvd., Washington Dc, DC 20019 | 2019-03-25 |
| 1174081434 | Kathleen Estelle Williams | Nurse's Aide | 12045th Street North East, 613, Washington, DC 20019 | 2019-03-06 |
| Find all providers in zip 20019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859334 | Providence Health Services, Inc | Specialist | 1150 Varnum St Ne Ste 300, Washington, DC 20017-2180 | 2018-01-12 |
| 1144761016 | Elisabeth Payne | Specialist | 1334 Rittenhouse St Nw, Washington, DC 20011-1106 | 2017-03-13 |
| 1821532649 | Dr. Richard Smilie, Veterinarian | Specialist | 1622 32nd St Nw, Washington, DC 20007-2930 | 2016-12-13 |
| 1871947812 | Olusola Zaccheus | Specialist | 269 56th St Ne, Washington, DC 20019-6744 | 2016-04-15 |
| 1215390331 | Jessica Lynn Fornieri | Specialist | 3700 O St Nw, Washington, DC 20057-0002 | 2016-04-05 |
| 1497115083 | Kathleen Pyne | Specialist | 1728 Willard St Nw, Washington, DC 20009-1719 | 2016-02-25 |
| 1932568276 | Trusted Urology Inc | Specialist | 1140 Varnum St Ne Ste 208a, Washington, DC 20017-2153 | 2016-02-15 |
| 1841663135 | Leonard Mcpherson | Specialist | 4705 Asbury Pl. N.w., Washington, DC 20016 | 2015-11-09 |
| 1396118782 | Dante Settles | Specialist | 3564 Fort Lincoln Dr Ne, Washington, DC 20018-4312 | 2015-11-05 |
| 1487023479 | Maria Jevon Fortune | Specialist | 5057 Astor Pl Se Apt 203, Washington, DC 20019-7683 | 2015-09-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20019 |
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| 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.