MEDICARE: DR. MICHAEL HART PLUMER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	MD00020239	WA
2	207L00000X	Anesthesiology Physician	MD14443	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5626	OTHER		INTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number	:	1023108974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HART PLUMER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 385289
Second Line	:
City	:	WAIKOLOA
State	:	HI
Zip	:	96738-5045
Country	:	US
Telephone Number	:	808-883-8846
Fax Number	:

Provider Business Practice Location Address
First Line	:	68-1866 WEST KAUPAPA PLACE
Second Line	:
City	:	WAIKOLOA
State	:	HI
Zip	:	96738
Country	:	US
Telephone Number	:	808-883-8846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	10/09/2007

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Directions to “ DR. MICHAEL HART PLUMER M.D.” Practice Location

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