Individual provider Active NPI

Michael V Plump, DO

  • General Practice Physician
  • Boca Raton, FL
National Provider Identifier
1831758341
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS18623 Issued in FL
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

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 1658640487, 3 clinicians

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

ProcedureNumber of procedures
Removal of tissue2061
Removal of skin lesions43
Removal of nail tissue1-10
Removal or shaving of skin growth18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18623FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Surgical and Wound Care LLC Surgery Current Accepting new patients
Sunshine Surgical and Wound Care LLC Surgery CurrentSince Aug 1, 2022 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.

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

Verify at the official NPI Registry.