Active NPI
Vernon William Vore II, MD
- Family Medicine Physician
- Ashland, OH
National Provider Identifier
1104817659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39896
- Practice address
- 1941 Baney Rd S
Ashland Family Practice/Samaritan Professional Corp
Ashland, OH 44805-4502 - Phone
- (419) 289-0333
- Fax
- (419) 281-7903
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39896 | OH | Primary |
Addresses
Primary practice location
1941 Baney Rd S
Ashland Family Practice/Samaritan Professional Corp
Ashland, OH 44805-4502
Mailing address
PO Box 72098
Cleveland, OH 44192-0002
Phone (419) 289-0333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0322921 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uhsamaritandirect@uhhs.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39896 | OH | MD | Family Medicine Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/24414/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/26840/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1104817659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72098",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441920002",
"telephone_number": "419-289-0333",
"fax_number": "419-281-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 BANEY RD S",
"address_2": "ASHLAND FAMILY PRACTICE/SAMARITAN PROFESSIONAL CORP",
"city": "ASHLAND",
"state": "OH",
"postal_code": "448054502",
"telephone_number": "419-289-0333",
"fax_number": "419-281-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORE",
"first_name": "VERNON",
"middle_name": "WILLIAM",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "39896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0322921",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "uhsamaritandirect@uhhs.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1941 Baney Rd S",
"address_2": "Ashland Family Practice/Samaritan Professional Corp",
"city": "Ashland",
"state": "OH",
"country_code": "US",
"postal_code": "448054502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ashland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.