IndividualActive
Matthew Thao
NPI 1700264751 · Student in an Organized Health Care Education/Training Program · Maplewood, MN
Provider details
- NPI number
- 1700264751
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
- License
- D734045708114 (MN)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense D734045708114 (MN)
Student, Health Care
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1470 Gervais Ave
Maplewood, MN 55109
Phone: (651) 230-9093
Street-level locationGet directions
Mailing address
1470 Gervais Ave
Maplewood, MN 55109-2050
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.