Active NPI
Beth Vermont, M.D.
- Obstetrics & Gynecology Physician
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD24910
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD24910 | OR | Primary |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Mailing address
23715 Santiam Way SE
Lyons, OR 97358-9421
Phone (503) 991-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24910 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients |
Locations
210 Canal St
King City, CA 93930
Phone (931) 385-7100
300 Canal St
King City, CA 93930
Phone (831) 385-6000
400 Canal St
Ste B
King City, CA 93930
Phone (831) 385-1280
1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Adventist Health Reedley
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
dba Mee Memorial Healthcare System
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1083611156
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
-
- Federally Qualified Health Center (FQHC)
- Goshen, CA
- NPI 1336237072
-
- Federally Qualified Health Center (FQHC)
- Springville, CA
- NPI 1386738177
-
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
- NPI 1831520048
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1487759775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23715 SANTIAM WAY SE",
"city": "LYONS",
"state": "OR",
"postal_code": "973589421",
"telephone_number": "503-991-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "86504",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMONT",
"first_name": "BETH",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD24910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.