Individual provider Active NPI

Heather M Plumer-Haun, D.O.

  • Family Medicine Physician
  • Lenox, MI
National Provider Identifier
1174523401
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014179 Issued in MI
Practice address
66707 Gratiot Ave
Lenox, MI 48050-2019
Phone
(586) 727-5840
Fax
(586) 727-5897
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014179 MI Primary

Addresses

Primary practice location

66707 Gratiot Ave
Lenox, MI 48050-2019

Mailing address

PO Box 187
Richmond, MI 48062-0187
Phone (586) 727-5840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000189 MI Practitioner - Family Practice 0345218582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Macomb Medical Associates PLLCGroup PAC ID 0648175133, 4 clinicians

Practice addresses (Care Compare)

66440 Gratiot Ave
Lenox, MI 48050-2032
Phone (586) 727-5840

Hospital & facility affiliations

  • Bay Nursing, Inc Home health agency, Romeo, MI, CCN 237272
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014179MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Macomb Medical Associates PLLC Family Medicine CurrentSince Sep 13, 2004 Accepting new patients

Locations

66440 Gratiot Ave
Lenox, MI 48050
Phone (586) 430-4022

66707 Gratiot Ave
Lenox, MI 48050
Phone (586) 727-5840

66440 Gratiot Ave
#A
Lenox, MI 48050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1174523401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480620187",
            "telephone_number": "586-727-5840",
            "fax_number": "586-727-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66707 GRATIOT AVE",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480502019",
            "telephone_number": "586-727-5840",
            "fax_number": "586-727-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMER-HAUN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenox, MI

Sources for this page

Verify at the official NPI Registry.