Raymond Peter Plona III, D.D.S. , M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.022433 Issued in OH

Practice address

26777 Lorain Road
#600
North Olmsted, OH 44070-3222

Phone

(440) 734-3131

Fax

(440) 734-3466

NPI assigned

Jul 24, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rplona37683@ehrdirect.uhhospitals.org

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.

• North Coast Jaw Center. LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • North Olmsted, OH
  • NPI 1255492054

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1265697668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN ROAD",
            "address_2": "#600",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-734-3131",
            "fax_number": "440-734-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN ROAD",
            "address_2": "#600",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703222",
            "telephone_number": "440-734-3131",
            "fax_number": "440-734-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLONA",
        "first_name": "RAYMOND",
        "middle_name": "PETER",
        "name_suffix": "III",
        "credential": "D.D.S. , M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.022433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.098890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W. Craven, M.D., Inc.
• Paula Perea, PHARM.D., RPH.
• Trista D Piccola, PHD, LISW-S
• Ellen Hook Pietz, MSSA
• Gregory Alan Plona, D.M.D.
• Tiffani Rene Poier, IMFT
• Audra Maria Popik, MACC, LSW
• Melody Popik
• Ashley L Powell, LISW
• Premier Home Modifications LLC

• Oral and Maxillofacial Surgery (Dentist) in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.