Plessen ENT
Organization Active NPI Otolaryngology Physician · Christiansted, VI
NPI 1609515394 · NPPES record last updated Sep 27, 2022
Key facts
- NPI
- 1609515394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- PLESSEN ENT
- Practice address
- 4040 Estate la Grande Princesse Ste 1
Christiansted, VI 00820-5166 - Phone
- (340) 715-7720
- Fax
- (340) 713-9002
- NPI assigned
- Jun 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Jan Bijan Tawakol, MD
- Title
- President/Ceo
- Phone
- (602) 885-3917
Practitioners 3
-
Gavin Martin Gassen, M.D.
-
Lisa Gay, FNP
-
Jan B Tawakol, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221012002198 | VI | Part B Supplier - Clinic/Group Practice | 2961878244 |
Receives reassigned benefits from 1 practitioner Practice locations: Christiansted, VI |
National Provider Directory
Locations
4040 Estate La Grande Princesse
Ste 3
Christiansted, VI 00820
Phone (305) 300-5856
4040 Estate La Grande Princesse
Ste 1
St Croix, VI 00820
Phone (340) 249-1088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
4040 Estate la Grande Princesse Ste 1
Christiansted, VI 00820-5166
Mailing address
3004 Orange Grove
Suite 2
Christiansted, VI 00820
Phone (340) 715-7720
Other names
- Plessen ENT
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://plessenhealthcare.com/contact/ | Other | Plessen Medical Group, LLC |
Other providers in Christiansted, VI
- John Charles Perez
- Cleopatra Peter
- Dominique Petersen
- James Phipps
- Physical Therapy Center of St. Croix, LLC
- Plessen Eye, LLC
- Plessen Eye, LLC
- Plessen Healthcare, LLC
- Plessen Medical Group, LLC
- Plessen Medical Group, LLC
All providers in Christiansted, VI · Otolaryngology Physician in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.