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1275587727

NPI Code Detail

MEDICARE: RICHARD L PLUMMER MD

MEDICARE: RICHARD L PLUMMER MD

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	207Q00000X	Family Medicine Physician	10564	SD
2	207Q00000X	Family Medicine Physician	1119	SD
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	036.147372	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
10	P00397642	OTHER	SD	RAILROAD MEDICARE

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1256	OTHER	SD	AVERA
4	1565	OTHER	SD	MIDLANDS CHOICE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1119	OTHER	SD	DAKOTACARE
7	AH1801016438	OTHER	SD	PREFERRED ONE
8	28190	OTHER	SD	SANFORD HEALTH PLANS
9	4993464	OTHER	SD	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1275587727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD L PLUMMER MD

Provider Business Mailing Address
First Line	:	RUSH UNIVERSITY MEDICAL CENTER
Second Line	:	1653 W CONGRESS PARKWAY
City	:	CHICAGO
State	:	IL
Zip	:	60612-3800
Country	:	US
Telephone Number	:	605-215-2185
Fax Number	:	605-653-3226

Provider Business Practice Location Address
First Line	:	RUSH UNIVERSITY MEDICAL CENTER
Second Line	:	1653 W CONGRESS PARKWAY
City	:	CHICAGO
State	:	IL
Zip	:	60612-3800
Country	:	US
Telephone Number	:	605-215-2185
Fax Number	:	605-653-3226

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	09/21/2018

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Directions to “ RICHARD L PLUMMER MD” Practice Location

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