Pleasant Hill Family Practice, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

01866 Issued in IA

Legal business name

PLEASANT HILL FAMILY PRACTICE, PC

Practice address

5148 E University Ave
Pleasant Hill, IA 50327-7008

Phone

(515) 266-1199

Fax

(515) 266-0615

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J Vermillion, DO

Title

President

Phone

(515) 266-1199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1821143207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 E UNIVERSITY AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503277008",
            "telephone_number": "515-266-1199",
            "fax_number": "515-266-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 E UNIVERSITY AVE",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503277008",
            "telephone_number": "515-266-1199",
            "fax_number": "515-266-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "VERMILLION",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-266-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "01866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.