William Plum, MD

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

License

ME161520 Issued in FL

Practice address

17560 US Highway 441
Mount Dora, FL 32757-6711

Phone

(352) 744-7002

NPI assigned

Jan 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Florida Eye Center PAGroup PAC ID 4385678747, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 5)

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: wip9032@direct.nyp.org
• Direct secure messaging: drplum@midfloridaeye.ecldirect.net
• Direct secure messaging: william.plum.p4@direct.drea.nextgenshare.com
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: wplum@espflorida.intellechartdirect.net
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Mount Dora, FL
  • NPI 1710980883

  FL, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Delray Eye Associates PA

  • Ophthalmology Physician
  • Delray Beach, FL
  • NPI 1851957112

  Ophthalmology

  NPD
• Mid Florida Eye Center PA

  • Ophthalmology Physician
  • Summerfield, FL
  • NPI 1821177643

  Ophthalmology

  NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1356731343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-744-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576711",
            "telephone_number": "352-744-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N 14th St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347484204",
            "country_code": "US",
            "telephone_number": "352-787-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5743 Williamsburg Ln",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "FL",
            "postal_code": "347858129",
            "country_code": "US",
            "telephone_number": "352-744-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17556 SE 109th Terrace Rd",
            "address_purpose": "LOCATION",
            "city": "Summerfield",
            "state": "FL",
            "postal_code": "344916907",
            "country_code": "US",
            "telephone_number": "352-347-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUM",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "317724",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "FL",
            "license": "ME161520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wp2266@cumc.columbia.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "635 W 165th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100323724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gritchalach Phophutthaprasit, AP, DOM
• Physicians Imaging-Mt Dora LLC
• Physicians of Central Florida, LLC
• Steven Eugene Pillow, MD
• Adriana Nesta Pinkerton, PTA
• Guadalupe Lizeth Polanco, LMT
• Patty Lanan Polley, LPN
• Deja Pollidore
• Vanessa Pollock
• Suzanne Porcelli

• Glaucoma Specialist (Ophthalmology) Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Glaucoma Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.