MARIE ELEANOR PLETSCH (NPI# 1346232436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346232436 |
Entity Type | Individual |
Full Name | MARIE ELEANOR PLETSCH |
Credential | M.D. |
Practice Address |
223 Mount Hermon Rd Suite A Scotts Valley CA 95066-4086 |
Practice Telephone | 8314621000 |
Practice Fax Number | 8314629519 |
Mailing Telephone | 8314621000 |
Mailing Fax Number | 8314629519 |
Enumeration Date | 2005-08-16 |
Last Update Date | 2009-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G9937 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RENDERING PROVIDER # | 000G99370 | 01 | |
TAX ID # | 942196852 | 01 | |
CA | GR0068450 | 05 | |
CA | GR006851 | 05 | |
CA | STATE LICENSE # | G9937 | 01 |
Street Address |
223 MOUNT HERMON RD SUITE A |
City | SCOTTS VALLEY |
State | CA |
Zip Code | 95066-4086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083657357 | Matrix Rehabilitation, Inc. | Clinic/Center | 223 Mount Hermon Rd, Suite 10, Scotts Valley, CA 95066-4086 | 2006-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861046377 | Nannette Benedict Dds Associates | Dentist | 5015 Scotts Valley Drive, Scotts Valley, CA 95066 | 2019-08-01 |
1457836314 | Erin Burton Josselyn | Social Worker | 125 Bethany Dr Ste 203, Scotts Valley, CA 95066 | 2018-09-26 |
1770010068 | Onesource Compounding Pharmacy | Pharmacy | 104 Whispering Pines Dr Ste 105, Scotts Valley, CA 95066 | 2017-05-17 |
1912393612 | Living Evolution: An Outdoor Experiential Learning Program Inc. | Nutritionist | 6001 Buttler Lane, Suite 206, Scotts Valley, CA 95066 | 2015-04-09 |
1750638375 | Denise Louise Quinn | Physical Therapist | 108 Whispering Pines Drive, Scotts Valley, CA 95066 | 2012-08-14 |
1194047100 | Kim Ann Chavez | Registered Nurse | 3650 Graham Hill Road, Juvenile Hall Nursing Unit, Santa Cruz, CA 95066 | 2010-02-17 |
1972755536 | Bethany University Counseling Center | Marriage & Family Therapist | 800 Bethany Drive, Scotts Valley, CA 95066 | 2008-10-15 |
1336343383 | Ali Eppy | Marriage & Family Therapist | 4113 Scotts Valley Drive, Suite 205, Scotts Valley, CA 95066 | 2007-06-13 |
1699825265 | Julie Carboni | Marriage & Family Therapist | 125 Bethany Drive Ste. N, Scotts Valley, CA 95066 | 2007-01-12 |
1902982143 | John A Stevens Dds Inc | Dentist | 221 H Mount Hermon Road, Scotts Valley, CA 95066 | 2006-10-31 |
Find all providers in zip 95066 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841228848 | Santa Cruz Can Am Medical Group,inc | Surgery | 223 Mount Hermon Rd # A, Scotts Valley, CA 95066-4086 | 2006-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
Find all providers with the same taxonomy |
City | SCOTTS VALLEY |
Zip Code | 95066 |
Please comment or provide details below to improve the information on MARIE ELEANOR PLETSCH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.