Active NPI
Michael V Plump, DO
- General Practice Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS18623
- Practice address
- 4800 T Rex Ave Ste 200
Boca Raton, FL 33431-4479 - Phone
- (877) 850-8762
- NPI assigned
- Jun 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS18623 | FL | |
| General Practice Physician | 208D00000X | OS18623 | FL | Primary |
Addresses
Primary practice location
4800 T Rex Ave Ste 200
Boca Raton, FL 33431-4479
Mailing address
35 Cottage PL Apt 2
Long Branch, NJ 07740-5790
Phone (732) 581-1306
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220902000535 | FL | Practitioner - General Practice | 4082098447 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunshine Surgical and Wound Care LLC
Practice addresses (Care Compare)
777 9TH St N
Naples, FL 34102-8135
Phone (239) 261-8126
8000 Arlington Cir
Naples, FL 34113-3205
Phone (239) 307-3100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 2061 |
| Removal of skin lesions | 43 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18623 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Surgical and Wound Care LLC | Surgery | Current | Accepting new patients |
| Sunshine Surgical and Wound Care LLC | Surgery | Current | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
4834 NW 2nd Ave
Unit 413
Boca Raton, FL 33431
Phone (337) 371-8163
1061 Virginia St
Dunedin, FL 34698
Phone (727) 733-4189
1735 N Treasure Dr
North Bay Village, FL 33141
Phone (305) 665-2383
1201 SE 24th Rd
Ocala, FL 34471
Phone (352) 732-2449
Organizations & group practices 2
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.
-
- Surgery Physician
- North Bay Village, FL
- NPI 1952843716
FL, Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1831758341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 COTTAGE PL APT 2",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077405790",
"telephone_number": "732-581-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 T REX AVE STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314479",
"telephone_number": "877-850-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMP",
"first_name": "MICHAEL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-08",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "OS18623",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "OS18623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.
- 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.