Mark Gerry Plucer

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

5101006481 Issued in MI

Practice address

8485Highgrovecourt
Grandblanc, MI 48439-9585

Phone

(810) 636-4032

NPI assigned

Jan 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1992394548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485HIGHGROVECOURT",
            "city": "GRANDBLANC",
            "state": "MI",
            "postal_code": "484399585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485HIGHGROVECOURT",
            "city": "GRANDBLANC",
            "state": "MI",
            "postal_code": "484399585",
            "telephone_number": "810-636-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCER",
        "first_name": "MARK",
        "middle_name": "GERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "5101006481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Dermatology, S.C.
• Pinnacle Dermatology, S.C.
• Hannah Pintacura
• Jordan A Place, DO
• Sarah Ploof
• Tamara Pobocik, PMHNP-BC
• Jessica Podolsky, PH.D.
• Kathryn Pogue
• Victoria Pohly
• Ethan Poland, DO

• Adult Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Adult Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.