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KEITH GERRELL PLUMMER PA-C
NPI 1932141728
Physician Assistant - Medical in Tishomingo, OK

Active since June 13, 2006PECOS Enrolled
610 E 24TH ST, TISHOMINGO, OK 73460(580) 371-2343(580) 371-2451 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith Gerrell Plummer Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH GERRELL PLUMMER PA-C (NPI 1932141728) is an individual medical provider in Tishomingo, Oklahoma, licensed in Oklahoma (794) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932141728
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEITH GERRELL PLUMMERCredential: PA-C
Location Address610 E 24TH STTishomingo, OK 73460-3245
Mailing Address610 E 24th StTishomingo, OK 73460-3245 · (580) 371-2343 · Fax (580) 371-2451
Phone(580) 371-2343
Fax(580) 371-2451
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1932141728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 794
610 E 24TH ST, Tishomingo, OK 73460
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN242319607OK
Medicaid100058030BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Gerrell Plummer Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARCI LYNN BOWEN APRN-CNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
UNA LORRAINE MCELHANY ARNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
WILSON L DAVIS MD
Internal Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
TOMMIE GAY STANBERRY PA-C
Physician Assistant (Medical)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
DR. ERIC SCOTT LEE D.O.
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
RELINDA LEA BLACK APRN-CNP
Nurse Practitioner (Family)
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
ROBERT G BISHOP MD
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343
STEPHANIE PATRICIA JONES DO
Family Medicine
610 E 24TH ST
TISHOMINGO, OK 73460
Johnston County (580) 371-2343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Plummer's NPI number?

The NPI number for Keith Plummer is 1932141728. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Keith Plummer located?

Keith Plummer practices at 610 E 24th St, Tishomingo, OK 73460. The listed phone number is (580) 371-2343.

What is Keith Plummer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Keith Plummer enrolled in Medicare?

Yes. Keith Plummer is registered in the Medicare PECOS enrollment system.

What insurance does Keith Plummer accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Keith Plummer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Plummer was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.