NPIMap

Individual provider Active NPI

Steven John Platz, PA-C

  • Medical Physician Assistant
  • Lander, WY
National Provider Identifier
1376638338
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
293 Issued in WY
Practice address
8195 State Hwy 789
Lander, WY 82520
Phone
(307) 332-1551
Fax
(307) 332-1553
NPI assigned
Oct 4, 2006
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 293 WY Primary

Addresses

Primary practice location

8195 State Hwy 789
Lander, WY 82520

Mailing address

PO Box 15445
Belfast, ME 04915-4049
Phone (307) 332-1551

Other identifiers 1

IdentifierTypeStateIssuer
123512500MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000617 WY Practitioner - Physician Assistant 3072510114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lander Medical Clinic PCGroup PAC ID 1355323940, 18 clinicians

Practice addresses (Care Compare)

745 Buena Vista Dr
Lander, WY 82520-3431
Phone (307) 332-2941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1093COMDHand Occupational Therapist
293WYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chamberland Orthopaedics PC Past Accepting new patients
Orthopaedics of Jackson Hole PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7718/brand/2/csg/1/fhir/r4
  • Direct secure messaging: steven.platz.1@2483.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1376638338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15445",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154049",
            "telephone_number": "307-332-1551",
            "fax_number": "307-332-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 STATE HWY 789",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "82520",
            "telephone_number": "307-332-1551",
            "fax_number": "307-332-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATZ",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WY",
            "license": "293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123512500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.