Provider Demographics
NPI:1285638023
Name:PLUMMER, RITCHIE R (DO)
Entity Type:Individual
Prefix:
First Name:RITCHIE
Middle Name:R
Last Name:PLUMMER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:11528 US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-1442
Mailing Address - Country:US
Mailing Address - Phone:727-868-2151
Mailing Address - Fax:727-819-8362
Practice Address - Street 1:9238 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-4853
Practice Address - Country:US
Practice Address - Phone:727-849-8491
Practice Address - Fax:727-849-3483
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0004175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01384OtherUNIVERSAL HEALTH CARE
FL080064833OtherRAILROAD MEDICARE
FL2171716OtherAETNA HMO
FL11151601OtherCITRUS GCMC I
FL5251125OtherAETNA PPO
FL01-05050OtherUNITED HEALTH CARE
FL11151602OtherCITRUS GCMCII
FL82334OtherBLUE CROSS BLUE SHIELD FLORIDA
FL6100076OtherGHI
FL039416500Medicaid
FL245831OtherAVMED
FL82334OtherBLUE CROSS BLUE SHIELD FLORIDA
FL245831OtherAVMED