Active NPI
Jeri Sue Plaxco, D.O.
- Diagnostic Radiology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO.997
- 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, 2016
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Astera Health
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
| License | State | Type | Specialty |
|---|---|---|---|
| 334135 | NY | MD | Licensed Practical Nurse |
| 50530 | CO | MD | Diagnostic Radiology Physician |
| R0927 | KY | MD | Diagnostic Radiology Physician |
| 1292 | NE | MD | Diagnostic Radiology Physician |
| 9978A | WY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauderdale Radiology Group LLP | Current | Accepting new patients | |
| Astera Health | Diagnostic Radiology | Current | Accepting new patients |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Ecm Health Group LLC | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | 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 | Current | Accepting new patients |
| Mammography of the University of Rochester | Diagnostic Radiology | Current | Accepting new patients |
| Central Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Astera Health | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Simplicity Health PA | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Unity Family Healthcare | Current | 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.
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1447408208
-
- Diagnostic Radiology Physician
- Sartell, MN
- NPI 1417935321
-
dba Riverwood Healthcare Center
- Critical Access Hospital
- Aitkin, MN
- NPI 1942277835
-
dba Astera Health Wadena Clinic
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
Diagnostic Radiology
-
- Family Medicine Physician
- Saint Cloud, MN
- NPI 1780186486
-
dba Little Falls Orthopedics
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
dba St. Gabriel's Hospital
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Crosby, MN
- NPI 1538143896
-
dba CentraCare St Cloud Hospital Adolescent Addiction Services
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St Cloud Hospital Behavioral Health - Sartell
- Mental Health Counselor
- Sartell, MN
- NPI 1083161814
Hospital
-
dba Recovery Plus Adult Program-St Cloud Hospital
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
dba CentraCare Wound Center
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
-
- General Acute Care Hospital
- Canandaigua, NY
- NPI 1194776351
-
dba Strong Memorial Hospital
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
- 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.