Individual provider Active NPI

Igor Plavljanic, RRT, RPFT, ACCS

  • Registered Respiratory Therapist
  • Riverview, FL
National Provider Identifier
1215570619
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RT8152 Issued in FL
Practice address
12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Phone
(813) 998-8828
Fax
(813) 979-3606
NPI assigned
Oct 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RT8152 FL Primary

Addresses

Primary practice location

12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210

Mailing address

12920 Summerfield Crossing Blvd
Riverview, FL 33579-7210
Phone (813) 998-8828

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RT8152FLMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1215570619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 SUMMERFIELD CROSSING BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797210",
            "telephone_number": "813-998-8828",
            "fax_number": "813-979-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 SUMMERFIELD CROSSING BLVD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797210",
            "telephone_number": "813-998-8828",
            "fax_number": "813-979-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAVLJANIC",
        "first_name": "IGOR",
        "name_prefix": "Mr.",
        "credential": "RRT, RPFT, ACCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT8152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.