Plaza Dermatology, SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

16752 Issued in WI

Legal business name

PLAZA DERMATOLOGY, SC

Practice address

3508 E Maria Drive
Stevens Point, WI 54481-1334

Phone

(715) 344-4573

Fax

(715) 344-4356

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nyles Richard Eskritt, M.D.

Title

President

Phone

(715) 344-4573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417041963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 E MARIA DRIVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811334",
            "telephone_number": "715-344-4573",
            "fax_number": "715-344-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 E MARIA DRIVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811334",
            "telephone_number": "715-344-4573",
            "fax_number": "715-344-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DERMATOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESKRITT",
        "authorized_official_first_name": "NYLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-344-4573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "16752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin T Peterson, APNP
• Benjamin J Phelan, PAC
• Alexander Pieczynski, LAT, ATC
• Justin Michael Pilger
• Stephani Placek, FNP
• Plaza Podiatry Associates LLC
• Heidi Pliwko, M.S.
• Plover River Counseling LLC
• Podiatry Associates of Wausau, S.C.
• Point Anesthesia Consultants, SC

• Specialist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.