Individual provider Active NPI

Jeri Sue Plaxco, D.O.

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1265590210
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO.997 Issued in AL
Practice address
2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Dec 4, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R0927 KY
Diagnostic Radiology Physician 2085R0202X DO.997 AL Primary
Diagnostic Radiology Physician 2085R0202X 50530 CO
Diagnostic Radiology Physician 2085R0202X 1292 NE
Diagnostic Radiology Physician 2085R0202X 9978A WY

Addresses

Primary practice location

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551

Mailing address

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone (256) 539-0457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX, MN, IL, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20160324001990 AL Practitioner - Diagnostic Radiology 8729130828 Reassigns benefits to 1 organization
I20181030002637 TX Practitioner - Diagnostic Radiology 8729130828 Reassigns benefits to 3 organizations
I20220525001298 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8729130828 Reassigns benefits to 10 organizations
I20240716000240 IL Practitioner - Diagnostic Radiology 8729130828
I20250520004273 NY Practitioner - Diagnostic Radiology 8729130828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians
Central Imaging LLCGroup PAC ID 7012324213, 23 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians
Mammography of the University of RochesterGroup PAC ID 8820151673, 16 clinicians

Practice addresses (Care Compare)

1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787

3351 Roosevelt Rd
Saint Cloud, MN 56301-6270
Phone (320) 257-9755

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-5434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
334135NYMDLicensed Practical Nurse
50530COMDDiagnostic Radiology Physician
R0927KYMDDiagnostic Radiology Physician
1292NEMDDiagnostic Radiology Physician
9978AWYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lauderdale Radiology Group LLP CurrentSince Apr 1, 2025 Accepting new patients
Astera Health Diagnostic Radiology Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2024 Accepting new patients
Ecm Health Group LLC CurrentSince Jun 30, 2025 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Regional Diagnostic Radiology Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Mammography of the University of Rochester Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Central Imaging LLC Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Astera Health CurrentSince May 24, 2022 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Aug 9, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Simplicity Health PA CurrentSince Apr 1, 2022 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Mar 30, 2024 Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2024 Accepting new patients

Locations

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

7892 Solutions Ctr
Chicago, IL 60677

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

3290 42nd Ave S
Saint Cloud, MN 56301
Phone (320) 227-5000

3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530

1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1265590210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014551",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014551",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXCO",
        "first_name": "JERI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "R0927",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "DO.997",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "50530",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1292",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "9978A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.