Provider Demographics
NPI:1912988171
Name:PLASA, ENKELEJDA (MD)
Entity type:Individual
Prefix:
First Name:ENKELEJDA
Middle Name:
Last Name:PLASA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ENKELEJDA
Other - Middle Name:
Other - Last Name:SAKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24651 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5635
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-333-2935
Practice Address - Street 1:25200 CENTER RIDGE RD
Practice Address - Street 2:SUITE 3200
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4141
Practice Address - Country:US
Practice Address - Phone:440-331-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-083943207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2514550Medicaid
OH000000342373OtherANTHEM
OH9322131OtherGROUP MEDICARE PIN
OH0119204OtherMEDICAID GROUP NUMBER
OH9273172OtherMEDICARE GROUP PTAN
OH000000328291OtherANTHEM
OH9322131OtherGROUP MEDICARE PIN
OH0119204OtherMEDICAID GROUP NUMBER
OH4141946Medicare PIN