OrganizationActive
Woodbury Plastic Surgery PA
NPI 1225151418 · Medical Specialty Clinic/Center · Woodbury, MN
Provider details
- NPI number
- 1225151418
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Malay Thao, Office Manager(651) 730-4100
- License
- 47379 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
604 Bielenberg Dr
Ste 250
Woodbury, MN 55125-1414
Phone: (651) 730-4100
Fax: (651) 730-4107
Street-level locationGet directions
Mailing address
604 Bielenberg Dr
Woodbury, MN 55125-1414
Other names (DBA / former)
- Other name
- David Thao Plastic Surgery
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2012-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.