Individual provider Active NPI

Alejandro Plan Jr., M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Longview, TX
National Provider Identifier
1477660041
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
J1760 Issued in TX
Practice address
903 Walnut Hill Dr
Suite 2
Longview, TX 75605-5068
Phone
(903) 234-8398
Fax
(903) 234-8497
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X J1760 TX Primary

Addresses

Primary practice location

903 Walnut Hill Dr
Suite 2
Longview, TX 75605-5068

Mailing address

903 Walnut Hill Dr
Suite 2
Longview, TX 75605-5068
Phone (903) 234-8398

Other identifiers 1

IdentifierTypeStateIssuer
1106692-03MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000461 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 9638356249 Practice locations: Longview, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J1760TXMDEndocrinology, Diabetes & Metabolism Physician

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477660041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WALNUT HILL DR",
            "address_2": "SUITE 2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055068",
            "telephone_number": "903-234-8398",
            "fax_number": "903-234-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WALNUT HILL DR",
            "address_2": "SUITE 2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055068",
            "telephone_number": "903-234-8398",
            "fax_number": "903-234-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAN",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "J1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106692-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.