Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 0103000356 | VA |
NPI | 1184695249 |
---|---|
Provider Name | Dr. Marc A. Platt |
First Address | Roanoke, VA 24016-4955 |
Second Address | Roanoke, VA 24016-4955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 17/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0100256000 | MEDICAID OF WEST VIRGINIA (01) | VA |
1184695249 | (05) | VA |
1184695249 | AETNA (01) | VA |
1184695249 | ANTHEM (01) | VA |
1184695249 | CIGNA (01) | VA |
1184695249 | GATEWAY (01) | VA |
1184695249 | HEALTHKEEPERS (01) | VA |
1184695249 | HEALTHKEEPERS PLUS (01) | VA |
1184695249 | HUMANA MEDICARE (01) | VA |
1184695249 | INTOTAL (01) | VA |
1184695249 | MAJESTACARE (01) | VA |
1184695249 | OPTIMA HEALTH PLAN (01) | VA |
1184695249 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY (01) | VA |
1184695249 | UMWA (01) | VA |
1184695249 | UNITED HEALTHCARE (01) | VA |
1184695249 | VA PREMIER (01) | VA |
1184695249 | VIRGINIA HEALTH NETWORK (01) | VA |
371194700 | BLACK LUNG (01) | VA |
540506332108 | TRICARE/CHAMPUS (01) | VA |
P00825874 | RAILROAD MEDICARE (01) | VA |
T32379 | (02) | VA |