Individual provider Active NPI

Margo Maples Plagenhoef, PA

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1902204647
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1005 Issued in AL
Practice address
1927 1St Ave N Ste 200
Birmingham, AL 35203-4050
Phone
(205) 933-0987
Fax
(205) 930-1758
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108418 FL
Physician Assistant 363A00000X 1005 AL Primary

Addresses

Primary practice location

1927 1St Ave N Ste 200
Birmingham, AL 35203-4050

Mailing address

1927 1St Ave N Ste 200
Birmingham, AL 35203-4050
Phone (205) 933-0987

Other names 1

  • Margo Maples Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmaples@totalskin.emadirect.md Direct
Direct Messaging Address mmaples@totalskin.emadirect.md Direct Total Skin & Beauty Dermatology Center, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206002610 AL Practitioner - Physician Assistant 9234450263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1005ALMDSpeech-Language Pathologist
PA9108418FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Diagnostics Group, PC PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1902204647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 1ST AVE N STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034050",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 1ST AVE N STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034050",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAGENHOEF",
        "first_name": "MARGO",
        "middle_name": "MAPLES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108418",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmaples@totalskin.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 16th Ave S Ste 202",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352055067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmaples@totalskin.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Total Skin & Beauty Dermatology Center, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 16th Ave S Ste 202",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352055067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "MAPLES",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.