MITCHELL MARTIN PLUMMER (NPI# 1457555237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457555237 |
| Entity Type | Individual |
| Full Name | MITCHELL MARTIN PLUMMER |
| Credential | MD |
| Practice Address |
520 Medical Center Dr Ste 300 Medford OR 97504-4316 |
| Practice Telephone | 5412826559 |
| Practice Fax Number | 5412826710 |
| Mailing Telephone | 5412826559 |
| Mailing Fax Number | 5412826710 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD156412 | OR | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD156412 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BLUE CROSS | 4898026 | 01 |
| OR | 500647780 | 05 | |
| OR | MEDICARE | 165610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870790 | Mitchell Tyree Plummer II | Massage Therapist | 1319 Ne 134th St Ste 103, Vancouver, WA 98685-2718 | 2019-03-12 |
| Street Address |
520 MEDICAL CENTER DR STE 300 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095199 | Joel A Tobias | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2005-10-04 |
| 1033588546 | Daniel Neville | Physician Assistant | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2015-09-15 |
| 1063855161 | App Cardiovascular Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2013-04-09 |
| 1205180098 | Stephani Kathleen Cook | Physician Assistant | 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 | 2012-11-01 |
| 1790014074 | Christopher Charles Davis | Physician Assistant | 520 Medical Center Dr, Suite 300, Medford, OR 97504-4334 | 2009-12-15 |
| 1033444781 | Southern Oregon Cardiology LLC | Internal Medicine | 520 Medical Center Dr, Ste 200, Medford, OR 97504-4314 | 2009-10-14 |
| 1104056092 | Dani J Thomas | Internal Medicine | 520 Medical Center Dr, Suite 2001, Medford, OR 97504-4334 | 2009-07-26 |
| 1265675599 | Natalie E Baxter | Physician Assistant | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4334 | 2009-04-16 |
| 1629267414 | Pamela Reeger Cortell | Nurse Practitioner | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-10-17 |
| 1144412529 | Patrick Joseph Phelan | Surgery | 520 Medical Center Dr, Ste 300, Medford, OR 97504-4316 | 2007-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477893113 | Vascular Surgery Associate of Suffolk County, Pllc | Surgery | 74 Southaven Ave Ste E, Medford, NY 11763-3746 | 2013-02-17 |
| 1578772935 | Aaron Wayne Partsafas | Surgery | 940 Royal Ave, Suite 420, Medford, OR 97504-6194 | 2007-05-22 |
| 1902984263 | John A Schwartz | Surgery | 940 Royal Ave, Suite 420, Medford, OR 97504-6193 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912334400 | Toshio Inahara | Surgery | 1115 Sw Summit View Dr, Portland, OR 97225-6197 | 2013-09-30 |
| 1902192396 | John Noel Dussel | Surgery | 9155 Sw Barnes Rd Ste 321, Portland, OR 97225 | 2011-06-23 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1225351901 | Willamette Vascular Specialists, PC | Surgery | 1015 25th St Se, Salem, OR 97301 | 2010-03-09 |
| 1174756605 | Benjamin R. Wilson, Md, PC | Surgery | 700 Bellevue Street, Suite 240, Salem, OR 97301-3855 | 2009-09-01 |
| 1356584973 | Norina Mohd Nordin | Surgery | 9701 Sw Barnes Rd Ste 140, Portland, OR 97225-6688 | 2009-04-13 |
| 1992909766 | Wayne K. Nelson | Surgery | 1550 Ne 27th St Ste 100, Bend, OR 97701-7728 | 2007-06-13 |
| 1376753442 | Inovia LLC | Surgery | 2200 Ne Neff Rd Ste 204, Bend, OR 97701-4281 | 2007-05-23 |
| 1508074147 | Salem Vascular Consultants, LLP | Surgery | 1535 Liberty St Se, Salem, OR 97302-4345 | 2007-05-18 |
| 1750414330 | Robert J. Swangard, M.d., P.C. | Surgery | 655 E 11th Ave Ste 2a, Eugene, OR 97401-3683 | 2007-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.