Jacob Byron Pluid, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

006338 Issued in AZ

Practice address

3269 Stockton Hill Rd
Kingman, AZ 86409-3619

Phone

(928) 757-0649

NPI assigned

Jun 29, 2011

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 WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physician Services P S Holy Emergency CenterGroup PAC ID 1052594314, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Holy Family Hospital Hospital, Spokane, WA, CCN 500077

Merit-based Incentive Payment System (MIPS)

Final score

96.16 of 100Reported as group

Quality

91.17

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Emergency Physician Services PS Holy Emergency Center

  • Emergency Medicine Physician
  • Spokane, WA
  • NPI 1336445634
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Washington

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1225289895
  Care Compare affiliation

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1255628178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAWHIDE DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017238",
            "telephone_number": "435-881-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUID",
        "first_name": "JACOB",
        "middle_name": "BYRON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "006338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dino Paul Pierce, CFT, CPT, RD, CDE
• John J Pierce, D.O.
• Schevon Makeba, Natasha Pierre, PMHNP-BC
• Pikes Transportation Inc
• Play by Play Pediatric Therapy, LLC
• Christina Poland, RN
• Rhet Adam Pond, PHARMD
• Donna Jean Pool, R.N.
• Christopher A Porter IV, MD
• Daniel Porter

• Emergency Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.