Individual provider Active NPI

Brian J Plaskon, M.D.

  • Surgery Physician
  • Issaquah, WA
National Provider Identifier
1063471241
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00034033 Issued in WA
Practice address
6505 226TH PL SE
Suite 101
Issaquah, WA 98027-8905
Phone
(425) 313-0775
Fax
(425) 313-4704
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00034033 WA Primary

Addresses

Primary practice location

6505 226TH PL SE
Suite 101
Issaquah, WA 98027-8905

Mailing address

6506 226TH Place SE #101
Issaquah, WA 98027
Phone (425) 313-0775

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

State licenses

LicenseStateTypeSpecialty
MD00034033WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Palisades Podiatry PLLC Past Accepting new patients
Issaquah Surgery Center, LLC PastSince Oct 10, 2007 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Public Hospital District No. 4, King County Washington Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1063471241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 226TH PLACE SE #101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027",
            "telephone_number": "425-313-0775",
            "fax_number": "425-313-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 226TH PL SE",
            "address_2": "SUITE 101",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278905",
            "telephone_number": "425-313-0775",
            "fax_number": "425-313-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASKON",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00034033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.