Active NPI
Paula L Plog, PA-C
- Medical Physician Assistant
- Miles City, MT
National Provider Identifier
1770599557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 973
- Practice address
- 2600 Wilson Street
Miles City, MT 56301 - Phone
- (406) 234-1177
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 331 | MT | |
| Medical Physician Assistant | 363AM0700X | 973 | NE | Primary |
Addresses
Primary practice location
2600 Wilson Street
Miles City, MT 56301
Mailing address
2600 Wilson Street
Miles City, MT 59103
Phone (406) 233-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331 | MT | MD | Clinical Psychologist |
| 973 | NE | MD | Optometrist |
Interoperability endpoints
- paula.plog.p1@direct.rwgcrhc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1770599557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WILSON STREET",
"city": "MILES CITY",
"state": "MT",
"postal_code": "59103",
"telephone_number": "406-233-2600",
"fax_number": "406-233-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WILSON STREET",
"city": "MILES CITY",
"state": "MT",
"postal_code": "56301",
"telephone_number": "406-234-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOG",
"first_name": "PAULA",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "331",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miles City, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.