Healthcare Provider Details

I. General information

NPI: 1285790147
Provider Name (Legal Business Name): ALEXANDER PLESZYNSKI-PLATZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 EDSEL LN NW STE 1
CORYDON IN
47112-2136
US

IV. Provider business mailing address

205 N MAIN ST
HARRISBURG IL
62946-1256
US

V. Phone/Fax

Practice location:
  • Phone: 812-734-0303
  • Fax: 812-225-5145
Mailing address:
  • Phone: 574-772-6030
  • Fax: 574-772-7494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number01047322A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number01047322A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01047322A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01047322A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036-067712
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: