Active NPI
Michael Alan Plastow, P.A.
- Physician Assistant
- Springfield, MO
National Provider Identifier
1366748873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2011002474
- Practice address
- 3231 S National Ave
Suite 200
Springfield, MO 65807-7304 - Phone
- (417) 885-0823
- Fax
- (417) 890-4178
- NPI assigned
- Jan 31, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2011002474 | MO | Primary |
Addresses
Primary practice location
3231 S National Ave
Suite 200
Springfield, MO 65807-7304
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 820-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 885-0823
Hospital & facility affiliations
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocates for a Healthy Community Inc | Current | Accepting new patients | |
| Advocates for a Healthy Community, Inc | Current | Accepting new patients |
Locations
440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191
Interoperability endpoints
- mplastow124392@directb.mercy.net
Organizations & group practices 3
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.
-
- Allergy Physician
- Springfield, MO
- NPI 1841710308
-
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1558303057
-
- Federally Qualified Health Center (FQHC)
- Buffalo, MO
- NPI 1750179610
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1366748873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505164",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505164",
"telephone_number": "417-820-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 S NATIONAL AVE",
"address_2": "SUITE 200",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077304",
"telephone_number": "417-885-0823",
"fax_number": "417-890-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLASTOW",
"first_name": "MICHAEL",
"middle_name": "ALAN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2011002474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
- 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.