Provider Demographics
NPI:1699886259
Name:PLANER, JONATHAN ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ALAN
Last Name:PLANER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3158 FREEDOM DR STE 3102
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-0014
Mailing Address - Country:US
Mailing Address - Phone:704-971-7099
Mailing Address - Fax:704-971-0035
Practice Address - Street 1:920 COX RD STE 201
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3435
Practice Address - Country:US
Practice Address - Phone:704-864-8302
Practice Address - Fax:704-971-0035
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-01032207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC566000156OtherNE INPATIENT TAX ID
NC7268818OtherPROVIDER ID AETNA
NC143MJOtherPROVIDER ID BCBSNC
NC5905006Medicaid
NC1427617OtherPROVIDER CIGNA HEALTHCARE
NC191793OtherPROVIDER ID MEDCOST
NC8080649OtherPROVIDER PARTNERS MCR CH
NC2062905AMedicare PIN