SCOTT VERMEULEN (NPI# 1487010062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487010062 |
Entity Type | Individual |
Full Name | SCOTT VERMEULEN |
Credential | C.O. |
Practice Address |
635 Anderson Rd Suite 18 Davis CA 95616-3505 |
Practice Telephone | 5302045123 |
Mailing Telephone | 5302045123 |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
635 ANDERSON RD SUITE 18 |
City | DAVIS |
State | CA |
Zip Code | 95616-3505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235135427 | Tracy Lee Basso | Podiatrist | 635 Anderson Rd, Ste 19, Davis, CA 95616-3505 | 2005-06-22 |
1194258293 | Tyler Poland | Chiropractor | 635 Anderson Rd, Ste 14, Davis, CA 95616-3505 | 2017-04-05 |
1174909402 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, Suite 18, Davis, CA 95616-3505 | 2015-08-10 |
1891058962 | David Lee Tomkins | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2012-06-22 |
1922382316 | Hong Joon Lee | Acupuncturist | 635 Anderson Rd, Suite 12a, Davis, CA 95616-3505 | 2011-10-04 |
1013143718 | Crystal Blankenship | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2009-06-09 |
1932364163 | Laura H Applebaum | Family Medicine | 635 Anderson Rd, Suite 10, Davis, CA 95616-3505 | 2008-07-28 |
1750559928 | Sutter Health | Non-Pharmacy Dispensing Site | 635 Anderson Rd, 10, Davis, CA 95616-3505 | 2008-02-11 |
1194891747 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 635 Anderson Rd, #10, Davis, CA 95616-3505 | 2006-11-27 |
1063598167 | Benton James Runquist | Dentist | 635 Anderson Rd, Suite #6, Davis, CA 95616-3505 | 2006-10-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
Find all providers in zip 95616 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780284851 | Hannah Mckinsey Oltrogge | Orthotist | 1260 S Main St Ste 102, Salinas, CA 93901-2292 | 2020-10-28 |
1639789779 | Dynamics Orthotics & Prosthetics, Inc | Orthotist | 2150 N Waterman Ave Ste 301, San Bernardino, CA 92404-4811 | 2020-08-04 |
1043833619 | Tim Shride | Orthotist | 3800 Watt Ave Ste 151, Sacramento, CA 95821-2688 | 2020-05-18 |
1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
1558994129 | Jacy Kay Young | Orthotist | 1247 E Alluvial Ave Ste 112, Fresno, CA 93720-2686 | 2020-02-21 |
1629628243 | Christian Rae Figueroa | Orthotist | 19845 Lake Chabot Rd Ste 302, Castro Valley, CA 94546-4055 | 2019-09-16 |
1710534821 | Alpha Iscandari Sanusi | Orthotist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-22 |
1255998290 | West Coast Dme & Supplies LLC | Orthotist | 8322 Clairemont Mesa Blvd Ste 105, San Diego, CA 92111-1317 | 2019-05-24 |
1043876162 | Kadesh Gamall Gayle | Orthotist | 20595 Spring St, Riverside, CA 92507-0128 | 2019-05-14 |
1346701059 | Nicole Rae Henry | Orthotist | 2550 23rd St Ste 119, San Francisco, CA 94110-3504 | 2019-03-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.