Juan P. Vernon, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

227758 Issued in MA

Practice address

123 Summer St
Worcester, MA 01608-1216

Phone

(508) 363-6025

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athol Memorial Hospital IncorporatedGroup PAC ID 7911959846, 81 clinicians

Henry Heywood Memorial HospitalGroup PAC ID 1658262605, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heywood Hospital - Hospital, Gardner, MA, CCN 220095
• Athol Memorial Hospital Hospital, Athol, MA, CCN 221303

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvernon331077@umassmemorial.direct-ci.com

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.

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Emergency Medical Services (Emergency Medicine) Physician
  • Boston, MA
  • NPI 1952358533
  Medicare reassignment NPD
• Baystate Wing Hospital Corporation

  • General Acute Care Hospital
  • Palmer, MA
  • NPI 1962410233
  Medicare reassignment NPD
• Emergency Physician Associates of Massachusetts PC

  • Emergency Medicine Physician
  • Worcester, MA
  • NPI 1730885252
  Medicare reassignment NPD
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Emergency Medicine Physician
  • Boston, MA
  • NPI 1316987993
  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Baystate Wing Hospital Corporation

  • Psychiatric Hospital Unit
  • Palmer, MA
  • NPI 1992880736
  NPD
• Henry Heywood Memorial Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athol Memorial Hospital Incorporated

  • Critical Access Hospital
  • Athol, MA
  • NPI 1336120047
  Care Compare affiliation
• Henry Heywood Memorial Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Care Compare affiliation
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1336196674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HURTEAU RD",
            "city": "MILLVILLE",
            "state": "MA",
            "postal_code": "015291780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy Street Samuels Bldg",
            "address_2": "Rhode Island Hospital",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-444-4247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Wright St",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "MA",
            "postal_code": "010691138",
            "country_code": "US",
            "telephone_number": "413-283-7651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 South St",
            "address_purpose": "LOCATION",
            "city": "Southbridge",
            "state": "MA",
            "postal_code": "015504051",
            "country_code": "US",
            "telephone_number": "508-765-9771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNON",
        "first_name": "JUAN",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "227758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075221A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvernon331077@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "40 Wright St",
            "city": "Palmer",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010691138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "40 Wright St",
            "city": "Palmer",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010691138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hersh Verma, CLINICIAN
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• Vernon Integrative Medical Group LLC
• Vernon Integrative Medical Group, LLC
• Vernon Women Health Services LLC
• Vero Health Xvi, LLC
• Aida Verrastro, M.A.
• Christine Elizabeth Veshi
• Veterans Inc
• Sara Vettese, M.A.

• Emergency Medicine Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.