MEDICARE: ERIC JASON PLUMLEY DPM

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	213E00000X	Podiatrist	497	NC
2	213ES0103X	Foot & Ankle Surgery Podiatrist	36-003356	OH

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

General Provider Information

NPI Number	:	1346236692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC JASON PLUMLEY DPM

Provider Business Mailing Address
First Line	:	38 N BREIEL BLVD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3804
Country	:	US
Telephone Number	:	513-783-4771
Fax Number	:	513-783-4831

Provider Business Practice Location Address
First Line	:	38 N BREIEL BLVD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3804
Country	:	US
Telephone Number	:	513-783-4771
Fax Number	:	513-783-4831

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	04/30/2024

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Directions to “ ERIC JASON PLUMLEY DPM” Practice Location

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