Provider Demographics
NPI:1386635811
Name:PLAGER, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:PLAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-0366
Mailing Address - Country:US
Mailing Address - Phone:413-733-0010
Mailing Address - Fax:413-930-2108
Practice Address - Street 1:115 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1215
Practice Address - Country:US
Practice Address - Phone:413-773-5797
Practice Address - Fax:413-773-9009
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10003207RN0300X
MA154017207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G46144Medicare UPIN
NY1006252Medicaid
G46144Medicare UPIN
MAA22460Medicare PIN
MA3167780Medicaid
CT003117852Medicaid
390005173Medicare PIN
NHPX6372Medicare PIN
NHRE4505Medicare PIN