Nicholas J Placentra Jr. (NPI# 1760493894, PAC ID# 7012803075) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760493894 |
| PAC ID by PECOS | 7012803075 |
| Professional Enrollment ID | I20040226000748 |
| Full Name | Nicholas J Placentra Jr. |
| Organization Legal Name | PRIMEDICAL HEALTHCARE PA |
| Address |
240 Hwy 105 Ext Suite 100 Boone NC 28607-4291 |
| Phone Number | 8282647311 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 6305732355 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| 341325 | ASHE MEMORIAL HOSPITAL |
| 341323 | CHARLES A CANNON JR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 | 8282647311 | PRIMEDICAL HEALTHCARE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PRIMEDICAL HEALTHCARE PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Street Address |
240 HWY 105 EXT SUITE 100 |
| City | BOONE |
| State | NC |
| Zip | 28607-4291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Lori W Hiatt | Occupational Therapy | 240 Hwy 105 Ext, Suite 200, Boone, NC 28607-4291 | |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Russell | Qualified Audiologist | 400 Univerisyt Hall Dr, Boone, NC 28607 | |
| Karen T Stoetzer | Clinical Social Worker | 719 Greenway Rd, Suite 108, Boone, NC 28607-3100 | |
| Ryan J Woods | Chiropractic | 920 W King St B, Boone, NC 28607-3467 | |
| William Henson | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Amanda Rights | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Colin Batchelor | Chiropractic | 483 Hwy 105 Ext, Boone, NC 28607-4708 | |
| Savannah Sheets | Optometry | Western Carolina Eye Associates, Pa | 610 State Farm Rd, A, Boone, NC 28607-4738 |
| Daniel P Krontz | Ophthalmology | Western Carolina Eye Associates, Pa | 610 State Farm Rd, A, Boone, NC 28607-4738 |
| Paul P Zimmerman | Podiatry | 610 State Farm Rd, C, Boone, NC 28607-4738 | |
| Penelope M Copenhaver | Optometry | Western Carolina Eye Associates, Pa | 610 State Farm Rd, A, Boone, NC 28607-4738 |
| Find all physicians in zip 28607 | |||
| City | BOONE |
| Zip Code | 28607 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOONE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicholas J Placentra Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.