Provider Demographics
NPI:1609022177
Name:PLAZA, ERIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:J
Last Name:PLAZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MAIL STOP 1034
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-6670
Mailing Address - Fax:913-588-3365
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MAIL STOP 1034
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-6670
Practice Address - Fax:913-588-3365
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2016-06-09
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Provider Licenses
StateLicense IDTaxonomies
IL125054723207L00000X
MO2013016212207L00000X
KS04-38680207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1609022177Medicaid
KS617A00140Medicare PIN