Healthcare Provider Details

I. General information

NPI: 1023108974
Provider Name (Legal Business Name): MICHAEL HART PLUMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68-1866 WEST KAUPAPA PLACE
WAIKOLOA HI
96738
US

IV. Provider business mailing address

PO BOX 385289
WAIKOLOA HI
96738-5045
US

V. Phone/Fax

Practice location:
  • Phone: 808-883-8846
  • Fax:
Mailing address:
  • Phone: 808-883-8846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD00020239
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD14443
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: