Individual provider Active NPI

Stephen M Plachta, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Hollywood, FL
National Provider Identifier
1750728820
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME155081 Issued in FL
Practice address
1150 N 35TH Ave Ste 345
Hollywood, FL 33021-5488
Phone
(954) 265-6300
Fax
(954) 961-3600
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Orthopaedic Surgery Physician 207XP3100X ME155081 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 345
Hollywood, FL 33021-5488

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

3377 S State Road 7 Ste 100
Wellington, FL 33449-8002
Phone (561) 341-7000

Other practice location 2

1951 SW 172nd Ave Ste 207
Miramar, FL 33029-5613
Phone (954) 265-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220331001835 FL Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 5799087276 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155081FLMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Pediatric Orthopaedic Surgery CurrentSince May 9, 2022 Accepting new patients
South Broward Hospital District CurrentSince May 9, 2022 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3440 Hollywood Blvd
Ste 140
Hollywood, FL 33021
Phone (954) 276-9276

1150 N 35th Ave
Ste 345
Hollywood, FL 33021
Phone (954) 986-6300

1971 SW 172nd Ave
Ste 2600
Miramar, FL 33029

1951 SW 172nd Ave
Ste 207
Miramar, FL 33029

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1750728820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 345",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215488",
            "telephone_number": "954-265-6300",
            "fax_number": "954-961-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3377 S State Road 7 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334498002",
            "country_code": "US",
            "telephone_number": "561-341-7000",
            "fax_number": "561-781-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1951 SW 172nd Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295613",
            "country_code": "US",
            "telephone_number": "954-265-6300",
            "fax_number": "954-961-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLACHTA",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME155081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.