Mary Hitchcock Plaisance, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200362 Issued in LA

Practice address

180 W Esplanade Ave
Kenner, LA 70065-2467

Phone

(504) 842-3755

NPI assigned

Aug 4, 2010

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD (past)
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  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1164736906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-842-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-842-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISANCE",
        "first_name": "MARY",
        "middle_name": "HITCHCOCK",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164082",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08224264",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Trenise Pierce, CRNA
• Joseph T Pierre III, PHARM.D, RPH
• Pinnacle Medical Solutions, LLC
• Pizazz by Jessica B
• Plains Accident & Injury Rehab, LLC
• Barbara Planells
• Lisa B. Plauche, NP
• Pma Medical Treatment Centers, LLC
• Grant Robert Pollock, MD
• Kennith Porter Sr., CCHT

• Physician Assistant in Kenner, LA
• Providers in Kenner, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.