Michael Alan Plastow, P.A.
Physician Assistant in Springfield, MO. Individual provider (NPI-1).
NPI number1366748873
StatusActive
Last updated in NPPESJun 2, 2015
Details
- NPI
- 1366748873
- Entity type
- Individual (NPI-1)
- Name
- Michael Alan Plastow
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2011
- Last updated
- Jun 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2011002474 | MO | Yes |
Practice location
3231 S National AveSuite 200
Springfield, MO 65807-7304
Phone 417-885-0823 · Fax 417-890-4178
Mailing address
Po Box 505164Saint Louis, MO 63150-5164
Phone 417-820-2000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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