Active NPI
Andrea Summers Plagge, D.O.
- Family Medicine Physician
- Crawfordville, FL
National Provider Identifier
1265406177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS8404
- Practice address
- 15 Council Moore Rd
Crawfordville, FL 32327-3117 - Phone
- (850) 926-7105
- Fax
- (850) 926-2034
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS8404 | FL | Primary |
Addresses
Primary practice location
15 Council Moore Rd
Crawfordville, FL 32327-3117
Mailing address
15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262132100 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8404 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida State University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba FSU University Health Services
- Student Health Clinic/Center
- Tallahassee, FL
- NPI 1699809236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1265406177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COUNCIL MOORE RD",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323273117",
"telephone_number": "850-926-7105",
"fax_number": "850-926-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COUNCIL MOORE RD",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "323273117",
"telephone_number": "850-926-7105",
"fax_number": "850-926-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAGGE",
"first_name": "ANDREA",
"middle_name": "SUMMERS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262132100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.