Fred Donald Vermeulen, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

26065 Issued in NC

Practice address

1420 E Seventh St
Charlotte, NC 28204-2408

Phone

(704) 375-0100

Fax

(704) 375-8623

NPI assigned

Nov 7, 2005

Last updated

Sep 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charlotte Colon & Rectal Surgery Associates PA

  • Colon & Rectal Surgery Physician
  • Charlotte, NC
  • NPI 1831155738
  NPD (past)
• Novant Health Medical Group, LLC

  dba Novant Health Charlotte Colon & Rectal Surgery

  • Surgery Physician
  • Charlotte, NC
  • NPI 1083959282
  NPD (past)
• Surgical Specialists of Charlotte, P.a.

  • Surgery Physician
  • Charlotte, NC
  • NPI 1073599734
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1447231519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E SEVENTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-375-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E SEVENTH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-375-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "FRED",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "26065",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "26065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8984992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Verifi Charlotte LLC
• Verimed, LLC
• Sarah Mulkey Verink, PA
• Veritas Collaborative Charlotte, LLC (The Emily Program)
• Veritas Collaborative Charlotte, LLC (The Emily Program)
• Riley Marie Vermillion, PT
• Ryan Vermillion
• Vernal Osborne
• Michelle Storey Verni, OTR/L
• Michael Stephen Vernon, MD

• Hospice and Palliative Medicine (Family Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.