Mark Timothy Pleger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2121 E High St
Springfield, OH 45505-1368

Phone

(937) 325-3830

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1184456477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051368",
            "telephone_number": "937-325-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEGER",
        "first_name": "MARK",
        "middle_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Piotrowski, CPNP
• Tracey Lynn Piper
• Sydney Elizabeth Pirog
• Chere Pittman
• Platinum Circle Inc (Platinum Circle Clubhouse)
• Alicia L Plymale, CPNP
• Marjorie L Polhamus, RN
• Teana Victoria Pollard
• Rachel Pomazal
• Amy Pooler

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.