Montgomery Trauma Associates

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MONTGOMERY TRAUMA ASSOCIATES

Practice address

2055 E South Blvd
Suite 601
Montgomery, AL 36116-2001

Phone

(334) 281-9000

Fax

(334) 281-8262

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Tammy G Miller

Title

Billing Manager

Phone

(334) 613-7076

Specialties & licenses 2

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mark Vermillion, MD

  • Trauma Surgery Physician
  • Montgomery, AL
  • NPI 1659454254
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1902964570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 601",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-281-9000",
            "fax_number": "334-281-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD",
            "address_2": "SUITE 601",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162001",
            "telephone_number": "334-281-9000",
            "fax_number": "334-281-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY TRAUMA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "334-613-7076"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AL",
            "license": "26765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL VERMILLION",
            "identifier": "51001703",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMILLION NPI",
            "identifier": "1659454254",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926030",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montgomery Smiles Youth Dentistry, PC
• Montgomery Spine Center P C
• Montgomery Surgery Specialists
• Montgomery Surgical Associates
• Montgomery Surgical Center, LTD
• Montgomery Vamc
• Montgomery Vamc
• Montgomery Vamc
• Montgomery Vamc
• Montgomery Vamc

• Preferred Provider Organization in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Preferred Provider Organization in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.