Active NPI
Craig T Vermes, PAC
- Surgical Physician Assistant
- Springfield, MA
National Provider Identifier
1568593044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1148
- Practice address
- 3300 Main St
3Rd FL
Springfield, MA 01199-1002 - Phone
- (413) 794-7020
- Fax
- (413) 794-7201
- NPI assigned
- Mar 8, 2007
- Last updated
- Mar 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1148 | MA | Primary |
Addresses
Primary practice location
3300 Main St
3Rd FL
Springfield, MA 01199-1002
Mailing address
280 Chestnut St
2ND FL
Springfield, MA 01199-1000
Phone (413) 794-5700
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1148 | MA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampden Urological Associates Inc. | Current | Accepting new patients | |
| Holyoke Medical Center, Inc. | Past | Accepting new patients | |
| Radiology & Imaging Inc | Past | Accepting new patients |
Locations
10 Hospital Dr
Ste 204
Holyoke, MA 01040
Phone (413) 533-3912
Organizations & group practices 3
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.
-
- Urology Physician
- Holyoke, MA
- NPI 1598896078
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Diagnostic Radiology Physician
- Springfield, MA
- NPI 1790731008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1568593044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991000",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MAIN ST",
"address_2": "3RD FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991002",
"telephone_number": "413-794-7020",
"fax_number": "413-794-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMES",
"first_name": "CRAIG",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "1148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.