Provider Demographics
NPI:1023108974
Name:PLUMER, MICHAEL HART (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HART
Last Name:PLUMER
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 385289
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5045
Mailing Address - Country:US
Mailing Address - Phone:808-883-8846
Mailing Address - Fax:
Practice Address - Street 1:68-1866 WEST KAUPAPA PLACE
Practice Address - Street 2:
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738
Practice Address - Country:US
Practice Address - Phone:808-883-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020239207L00000X
HIMD14443207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8403800Medicaid
5626OtherINTERNAL ID-MOTOR VEHICLE ID
WA8403800Medicaid
A41231Medicare UPIN