Paul B Platz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109534 Issued in FL

Practice address

600 Caisson Hill Road
Fort Riley, KS 66442-5037

Phone

(785) 239-7155

Fax

(785) 239-7364

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Physician Assistant

State licenses

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.

• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446

  TX

  Medicare reassignment

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1194946707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL ROAD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155",
            "fax_number": "785-239-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL ROAD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155",
            "fax_number": "785-239-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATZ",
        "first_name": "PAUL",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Peterson
• Shanda Pfizenmaier, RDH
• Robert Logan Phillips, DO
• Austin Lloyd Pierce, MS, RDN
• Kellie Marie Platz, D.O.
• Jonathan Ponds, LCSW
• Angela Portugal, OT
• Morgan Leigh Potter, DO
• Sandra Kaye Pottorff, LSCSW
• Rebecca Potvin, RD, LD, CLC

• Physician Assistant in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.