Active NPI
George J Planavsky, MD
- Psychiatry Physician
- La Crosse, WI
National Provider Identifier
1992787725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27182
- Practice address
- 444 Main St
Suite 301
La Crosse, WI 54601-3261 - Phone
- (608) 466-6154
- Fax
- (608) 519-5908
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27182 | MN | Primary |
Addresses
Primary practice location
444 Main St
Suite 301
La Crosse, WI 54601-3261
Mailing address
444 Main St
Suite 301
La Crosse, WI 54601-3261
Phone (608) 466-6154
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117949 | Other | MN | UCARE |
| 055508800 | Medicaid | MN | |
| 39330PL | Other | MN | BCBS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27182 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397260800000",
"number": "1992787725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MAIN ST",
"address_2": "SUITE 301",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013261",
"telephone_number": "608-466-6154",
"fax_number": "608-519-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MAIN ST",
"address_2": "SUITE 301",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013261",
"telephone_number": "608-466-6154",
"fax_number": "608-519-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLANAVSKY",
"first_name": "GEORGE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2014-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "27182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "117949",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055508800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39330PL",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.