JANET LESLIE PLAXICO PA NPI 1194759134

NPI Information

NPI: 1194759134
Provider Name: JANET LESLIE PLAXICO, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1201 E. ROSS BYPASS ROAD
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 207-0991
Get Directions

Janet Leslie Plaxico, PA is a surgical physician assistant in Tahlequah, OK. Janet Leslie Plaxico, PA NPI is 1194759134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 E. ROSS BYPASS ROAD
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 207-0991
Fax: (918) 456-7570

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		772	OKLAHOMA	No
2	363AS0400X	Physician Assistant	Surgical	PA772	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100094770A	MEDICAID	OKLAHOMA
2	S67032	MEDICARE UPIN	OKLAHOMA
3	S67032	MEDICARE UPIN
4	OK400596	MEDICARE PIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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