Organization Active NPI

Vester Health Center LLC

  • Internal Medicine Physician
  • Lafayette, AL
National Provider Identifier
1043371883
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10617 Issued in AL
Legal business name
VESTER HEALTH CENTER LLC
Practice address
140 1St St SE
Lafayette, AL 36862-2304
Phone
(334) 864-7887
Fax
(334) 864-0460
NPI assigned
Dec 13, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Terry Yvonne Vester, M.D.NPI 1396806121
Title
Co-Owner
Phone
(334) 864-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 11415 AL
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 10617 AL Primary

Addresses

Primary practice location

140 1St St SE
Lafayette, AL 36862-2304

Mailing address

140 1St St SE
Lafayette, AL 36862-2304
Phone (334) 864-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000511 AL Part B Supplier - Clinic/Group Practice 9739105289 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0936090Vester Health Center140 First Street Southeast, Lafayette, AL 36862Provider-performed microscopyMar 29, 2028

National Provider Directory

National Provider Directory

Locations

140 1st St SE
Lafayette, AL 36862
Phone (334) 864-7887

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1043371883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-7887",
            "fax_number": "334-864-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-7887",
            "fax_number": "334-864-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTER HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "VESTER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "334-864-7887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11415",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "10617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.