Jeffrey Scott Plagenhoef, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

Q5069 Issued in TX

Practice address

1108 Ross Clark Circle
Dothan, AL 36301

Phone

(334) 793-5105

NPI assigned

Jan 10, 2006

Last updated

Jul 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1548249410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIRCLE",
            "address_2": "STE 700 ANESTHESIA CONSULTANTS MEDICAL GROUP PC",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-5105",
            "fax_number": "334-671-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIRCLE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGENHOEF",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "Q5069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51083661",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456299A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Nicole Pittman
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• Pitzing Pharmaceuticals, Inc.
• Michael Lynn Pitzing
• Zachary Pitzing
• Michelle Plagenhoef, MD
• Play Learn Live Therapy Inc
• Plaza Pharmacy
• Polk's Crossgate Discount Drugs Inc. (Pmo Pharmacy MGMT Dothan)
• Abbigail Haley Pollard, RBT

• Anesthesiology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.