Charles Vermont, M.D., PLLC

Primary specialty

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

License

C7159 Issued in AR

Legal business name

CHARLES VERMONT, M.D., PLLC

Practice address

1480 West First North
Prescott, AR 71857

Phone

(870) 887-2669

Fax

(870) 887-5373

NPI assigned

Apr 18, 2007

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Vermont, M.D.NPI 1912904251

Title

Ceo

Phone

(870) 887-2669

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles A. Vermont, M.D.

  • Family Medicine Physician
  • Prescott, AR
  • NPI 1912904251
  Authorized official Same address or phone

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1659597698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 WEST FIRST NORTH",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "71857",
            "telephone_number": "870-887-2669",
            "fax_number": "870-887-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 WEST FIRST NORTH",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "71857",
            "telephone_number": "870-887-2669",
            "fax_number": "870-887-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES VERMONT, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "VERMONT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-887-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "C7159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11757002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Britton, LPN
• Kenoshia Brown
• Jackie Denise Bullock
• Myeshea Burton, QBHP
• J Dawn Butler
• Abby Layne Clark, COTA/L
• Amanda Gayle Collier, RN
• Kamryn Rein Collier
• Collom & Carney Clinic
• Collom & Carney Clinic Association

• Hospice and Palliative Medicine (Family Medicine) Physician in Prescott, AR
• Providers in Prescott, AR by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.