Active NPI
Robert P Vermaire, MD
- Family Medicine Physician
- Muskegon, MI
National Provider Identifier
1174527402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RV049655
- Practice address
- 1675 Leahy St
Ste 301
Muskegon, MI 49442-5543 - Phone
- (231) 728-5006
- Fax
- (231) 728-5014
- NPI assigned
- May 31, 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 | RV049655 | MI | Primary |
Addresses
Primary practice location
1675 Leahy St
Ste 301
Muskegon, MI 49442-5543
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080F11096 | Other | MI | BCBS MICHIGAN |
| 104556271 | Medicaid | MI |
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 |
|---|---|---|---|
| RV049655 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Past | Accepting new patients | |
| HPCN | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1407926223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1174527402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY ST",
"address_2": "STE 301",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425543",
"telephone_number": "231-728-5006",
"fax_number": "231-728-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMAIRE",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "RV049655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MICHIGAN",
"identifier": "080F11096",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104556271",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.