Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin B Plaxico, DO

Individual provider Surgery Physician · NPI 1518996958

Dr. Justin B Plaxico, DO is a General Surgery in Ada, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2000, 26 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
26
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

435 N Monte Vista St
Ada, OK 74820-4676
Phone: (580) 310-0102
Fax: (580) 310-0104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 3875 (OK)

Record details

NPI number1518996958
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address435 N Monte Vista St, Ada, OK 74820-4676

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2000 (26 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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