Individual provider Active NPI

Jorge Plasencia, M.D.

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1760466346
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301068139 Issued in MI
Practice address
4705 Towne Ctr
Suite 202
Saginaw, MI 48604-2818
Phone
(989) 791-3401
Fax
(989) 791-3466
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301068139 MI Primary

Addresses

Primary practice location

4705 Towne Ctr
Suite 202
Saginaw, MI 48604-2818

Mailing address

4449 Fashion Square Blvd
Saginaw, MI 48603-5217
Phone (989) 790-0007

Other identifiers 1

IdentifierTypeStateIssuer
4767454MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040429001068 MI Practitioner - Family Practice 7113914227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plasencia Family Medicine PLLCGroup PAC ID 0446289623, 2 clinicians

Practice addresses (Care Compare)

4705 Towne Centre Rd
Suite 202
Saginaw, MI 48604-2819
Phone (989) 791-3401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plasencia Family Medicine PLLC Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
Saginaw Cooperative Hospitals, Inc Family Medicine CurrentSince Jan 8, 2015 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Jan 8, 2015 Accepting new patients
Great Lakes Spine and Medical PLLC Current Accepting new patients
Great Lakes Spine and Medical PLLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

4573 Willoughby Rd
Ste B
Holt, MI 48842
Phone (517) 699-2646

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

4705 Towne Centre Rd
Ste 202
Saginaw, MI 48604
Phone (989) 791-3401

4266 State St
Saginaw, MI 48603
Phone (989) 792-6702

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Interoperability endpoints

  • Direct secure messaging: jplasencia1218@direct.covenanthealthcare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1760466346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035217",
            "telephone_number": "989-790-0007",
            "fax_number": "989-790-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CTR",
            "address_2": "SUITE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-791-3401",
            "fax_number": "989-791-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "JORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4767454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.