Individual provider Active NPI

Larry J. Plundo, DO

  • Family Medicine Physician
  • Greensburg, PA
National Provider Identifier
1902824360
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004121L Issued in PA
Practice address
518 Pellis Road
Greensburg, PA 15601
Phone
(724) 832-2570
Fax
(724) 832-2521
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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 OS004121L PA Primary

Addresses

Primary practice location

518 Pellis Road
Greensburg, PA 15601

Mailing address

518 Pellis Road
Greensburg, PA 15601
Phone (724) 832-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100511000548 PA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric Medicine 2961599766 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Convalescent Center Group CurrentSince Jan 9, 1980 Accepting new patients
Plundo Medical Associates, Osteopathic .P.C Family Medicine CurrentSince Jan 9, 1980 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

506 Athena Dr
Delmont, PA 15626

516 Pellis Rd
Greensburg, PA 15601
Phone (724) 836-0190

518 Pellis Rd
Greensburg, PA 15601
Phone (724) 832-1696

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1902824360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 PELLIS ROAD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-2570",
            "fax_number": "724-832-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PELLIS ROAD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-2570",
            "fax_number": "724-832-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNDO",
        "first_name": "LARRY",
        "middle_name": "J.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004121L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.