Active NPI
Maureen Anne Ploen, MA PAC
- Physician Assistant
- Annapolis, MD
National Provider Identifier
1306949813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002673
- Practice address
- 2002 Medical Pkwy
Suite 150
Annapolis, MD 21401-3046 - Phone
- (410) 571-9000
- Fax
- (410) 571-1670
- NPI assigned
- Sep 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002673 | MD | Primary |
| Physician Assistant | 363A00000X | 0110001668 | VA |
Addresses
Primary practice location
2002 Medical Pkwy
Suite 150
Annapolis, MD 21401-3046
Mailing address
2002 Medical Parkway
Suite 150
Annapolis, MD 21401-3046
Phone (410) 451-1198
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
- Master of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002673 | MD | MD | Physician Assistant |
| 0110001668 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian S Kahan DO PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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 The Kahan Center For Pain Management
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Annapolis, MD
- NPI 1215194840
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1306949813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 MEDICAL PARKWAY",
"address_2": "SUITE 150",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-451-1198",
"fax_number": "410-451-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 150",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "410-571-9000",
"fax_number": "410-571-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOEN",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "MA PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002673",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.