Stephen E. Pliska, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12789 Issued in WA

Practice address

7701 NE Highway 99
Vancouver, WA 98665-8834

Phone

(360) 574-2900

NPI assigned

Aug 25, 2005

Reactivated

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Doctor of Medicine

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 and National Provider Directory roles.

• Northwest Rehabilitation Institute

  • Physical Therapy Clinic/Center
  • Vancouver, WA
  • NPI 1316161029
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1174516082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 NE ST JOHNS RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612573",
            "telephone_number": "360-695-9922",
            "fax_number": "360-695-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658834",
            "telephone_number": "360-574-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISKA",
        "first_name": "STEPHEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-03-29",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "12789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8106304",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CO4293",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Platt, CO60745624
• Jennifer Platz, PA-C
• Melanie M Plaut, MD
• Playful Healing Counseling
• Playworks Counseling, LLC
• Jennifer Ploog, CCC-SLP
• Plum Village Wellness
• Heidi K Plumhoff, C.R.M, B.S.W
• Mitchell Tyree Plummer II, LMT
• Evangeline Royon Plunkett

• General Practice Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.