JOHN MARK VERMILLION (NPI# 1659454254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659454254 |
| Entity Type | Individual |
| Full Name | JOHN MARK VERMILLION |
| Credential | M.D. |
| Practice Address |
2055 East South Blvd Suite 601 Montgomery AL 36116-0000 |
| Mailing Address |
2055 E South Blvd Suite 601 Montgomery AL 36116-2001 |
| Practice Telephone | 3342819000 |
| Practice Fax Number | 3342818262 |
| Mailing Telephone | 3342819000 |
| Mailing Fax Number | 3342818262 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
00026765 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS PROVIDER # | 51001703 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 051007174 | 01 |
| AL | 009913011 | 05 | |
| AL | MEDICARE PROVIDER | 510I020007 | 01 |
| AL | MSS NPI | 1881881266 | 01 |
| AL | MEDICARE RAILROAD | P00656756 | 01 |
| AL | 051556225 | 05 | |
| AL | MONTGOMERY SURGICAL SPEC | 20-3204949 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242871 | John William Vermillion Jr. | Dietitian, Registered | 13315 Prospect Rd, Strongsville, OH 44149-3853 | 2019-12-11 |
| 1902113061 | John Andrew Vermillion | Physical Therapy Assistant | 1300 S 320th St Ste B, Federal Way, WA 98003-5359 | 2010-09-09 |
| Street Address |
2055 EAST SOUTH BLVD SUITE 601 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568492544 | Tamjeed Arshad | Internal Medicine | 2055 East South Blvd, Suite 403, Montgomery, AL 36116 | 2006-07-04 |
| 1801956420 | John Allen Jones IIi | Ophthalmology | 2055 East South Blvd, Suite 804, Montgomery, AL 36116 | 2006-12-12 |
| 1376603274 | Central Alabama Internal Medicine Associates Pa | Internal Medicine | 2055 East South Blvd, Suite 512, Montgomery, AL 36116-2014 | 2006-12-11 |
| 1912072380 | Winston Tacker Edwards | Internal Medicine | 2055 East South Blvd, Suite 512, Montgomery, AL 36116-2014 | 2006-11-21 |
| 1952484560 | Duncan Burwell Mcrae Jr. | Surgery | 2055 East South Blvd, Suite 601, Montgomery, AL 36116-0000 | 2006-10-24 |
| 1720161391 | Daniel Martin Daly | Surgery | 2055 East South Blvd, Suite 601, Montgomery, AL 36116-0000 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801234018 | Jonathan Andrew Black | Surgery | 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050 | 2013-06-10 |
| 1558520106 | Rondi Beth Gelbard | Surgery | 701 S 19th Street, Birmingham, AL 35294 | 2008-06-07 |
| 1265508626 | Healthcare Authority of The City of Huntsville | Surgery | 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 | 2006-11-28 |
| 1073553897 | James M Corder IIi | Surgery | 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 | 2006-06-08 |
| 1164935672 | Jan Olaf Jansen | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2017-11-07 |
| 1114330008 | West Alabama Physician Associates LLC | Surgery | 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 | 2014-06-09 |
| 1417275132 | Rachel Dowlen Rodriguez | Surgery | 619 S 19th St, Birmingham, AL 35249-0001 | 2010-05-05 |
| 1912153172 | Shannon L Carroll | Surgery | 701 19th St S, Birmingham, AL 35294-0001 | 2008-08-07 |
| 1376703959 | James Hwang | Surgery | 1813 6th Ave S, Birmingham, AL 35233-1920 | 2008-06-17 |
| 1730236555 | Farin Wayne Smith | Surgery | 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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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.