Active NPI
Patrick Martin Plummer, M.D.
- Sleep Medicine (Otolaryngology) Physician
- Ontario, OR
National Provider Identifier
1508848474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Otolaryngology) Physician
- License
- MD16163
- Practice address
- 2586 Lauren Dr
Ontario, OR 97914-5301 - Phone
- (208) 249-4050
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | M-9673 | ID | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | MD16163 | OR | Primary |
Addresses
Primary practice location
2586 Lauren Dr
Ontario, OR 97914-5301
Mailing address
2586 Lauren Dr
Ontario, OR 97914-5301
Phone (208) 249-4050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003424000 | Medicaid | ID | |
| 096198 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-9673 | ID | MD | Sleep Medicine (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Ontario Ear, Nose and Throat | Past | Accepting new patients |
Locations
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
- pplummer637633@direct.ochin.org
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
-
- Critical Access Hospital
- Rupert, ID
- NPI 1679553531
-
- Otolaryngology Physician
- Ontario, OR
- NPI 1518167634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1508848474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2586 LAUREN DR",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979145301",
"telephone_number": "208-249-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2586 LAUREN DR",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979145301",
"telephone_number": "208-249-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "PATRICK",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "ID",
"license": "M-9673",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "OR",
"license": "MD16163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003424000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096198",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.