Active NPI
Elmer F Plantz Jr., NNP
- Neonatal Nurse Practitioner
- Oswego, NY
National Provider Identifier
1922128628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- F350092-1
- Practice address
- 110 W 6TH St
Oswego, NY 13126-2507 - Phone
- (315) 349-5572
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | F350092-1 | NY | Primary |
Addresses
Primary practice location
110 W 6TH St
Oswego, NY 13126-2507
Mailing address
1064 County Route 22
PO Box 435
Altmar, NY 13302-3303
Phone (315) 298-7728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350092 | NY | MD | Family Nurse Practitioner |
| F350092-1 | NY | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oswego Hospital | Current | Accepting new patients |
Locations
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
Interoperability endpoints
- eplantz@oswegohealth.hiemail.healtheconnections.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922128628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 COUNTY ROUTE 22",
"address_2": "PO BOX 435",
"city": "ALTMAR",
"state": "NY",
"postal_code": "133023303",
"telephone_number": "315-298-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262507",
"telephone_number": "315-349-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANTZ",
"first_name": "ELMER",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NY",
"license": "F350092-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.