Organization Active NPI

Nathan a. Vermedahl, MD, PLLC

Doing business as Vermedahl Family Medicine

  • Family Medicine Physician
  • Dalhart, TX
National Provider Identifier
1386824019
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3105 Issued in TX
Legal business name
NATHAN A. VERMEDAHL, MD, PLLC
Doing business as
Vermedahl Family Medicine
Practice address
206 E 16TH St
Dalhart, TX 79022-4802
Phone
(806) 244-5668
Fax
(806) 244-5912
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Dr. Nathan A. Vermedahl, M.D.
Title
President
Phone
(806) 244-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M3105 TX Primary

Addresses

Primary practice location

206 E 16TH St
Dalhart, TX 79022-4802

Mailing address

206 E 16TH St
Dalhart, TX 79022-4802
Phone (806) 244-5668

Other names 1

  • Vermedahl Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

206 E 16th St
Dalhart, TX 79022
Phone (806) 244-5668

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1386824019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224802",
            "telephone_number": "806-244-5668",
            "fax_number": "806-244-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E 16TH ST",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790224802",
            "telephone_number": "806-244-5668",
            "fax_number": "806-244-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN A. VERMEDAHL, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "VERMEDAHL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-244-5668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermedahl Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.