Active NPI
David L Vermillion, M.D.
- Emergency Medicine Physician
- Lubbock, TX
National Provider Identifier
1194754424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L9588
- Practice address
- 7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114 - Phone
- (806) 698-8088
- Fax
- (806) 698-8588
- NPI assigned
- Jun 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L9588 | TX | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | L9588 | TX | |
| Emergency Medicine Physician | 207P00000X | L9588 | TX | Primary |
Addresses
Primary practice location
7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114
Mailing address
7008 Indiana Ave
Ste a
Lubbock, TX 79413-6114
Phone (806) 698-8088
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141215101 | Other | TX | FIRST CARE |
| I20218 | Other | TX | UPIN |
| P00321035 | Other | TX | RR MEDICARE |
| 8J9471 | Other | TX | BLUE CROSS/BLUE SHIELD |
| 170247406 | Medicaid | TX |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonewall Memorial Hospital | Past | Accepting new patients | |
| Stonewall Memorial Hospital | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- david.vermillion@direct.myteamcare.com
- jvermillion1212483@direct.sw.org
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.
-
- Critical Access Hospital
- Aspermont, TX
- NPI 1083612121
Emergency Medicine
-
dba Kent County Rural Health Clinic
- Rural Health Clinic/Center
- Jayton, TX
- NPI 1679992911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1194754424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7008 INDIANA AVE",
"address_2": "STE A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136114",
"telephone_number": "806-698-8088",
"fax_number": "806-698-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7008 INDIANA AVE",
"address_2": "STE A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136114",
"telephone_number": "806-698-8088",
"fax_number": "806-698-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMILLION",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L9588",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "L9588",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L9588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "141215101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "I20218",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00321035",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "8J9471",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170247406",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.