Individual provider Active NPI

Ewa Plagman, MD

  • Diagnostic Radiology Physician
  • La Crosse, WI
National Provider Identifier
1548262744
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47191 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601-5429
Phone
(608) 782-7300
NPI assigned
Jun 1, 2005
Last updated
Oct 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 47191 WI Primary
Diagnostic Radiology Physician 2085R0202X 47256 MN
Diagnostic Radiology Physician 2085R0202X 36334 IA

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other identifiers 1

IdentifierTypeStateIssuer
34583100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060308000804 IA Practitioner - Diagnostic Radiology 4981668985 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36334IAMDDiagnostic Radiology Physician
47191WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Memorial Hospital Inc CurrentSince Nov 29, 2010 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Black River Health Inc CurrentSince Nov 29, 2010 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Jul 1, 2022 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Apr 1, 2018 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jul 7, 2011 Accepting new patients
Richland Hospital CurrentSince May 1, 2011 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Dec 22, 2014 Accepting new patients
Richland Hospital CurrentSince May 1, 2011 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 27, 2021 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Nov 13, 2018 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Jul 7, 2011 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Nov 13, 2018 Accepting new patients
Black River Health Inc Current Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince May 1, 2016 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince May 27, 2021 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology Past Accepting new patients

Locations

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: eplagman3722@direct.emplifyhealth.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/7b17929a-d976-4002-b080-2a37b05f2444/

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1548262744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGMAN",
        "first_name": "EWA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "47191",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "47256",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "36334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34583100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.