DR. DAVID MICHAEL VERMETTE MD NPI 1902254915

NPI Information

NPI: 1902254915
Provider Name: DR. DAVID MICHAEL VERMETTE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4901 FOREST PARK AVE
DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 362-5060
Get Directions

DR. David Michael Vermette, MD is a general practice in Saint Louis, MO with 8 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. David Michael Vermette, MD NPI is 1902254915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:2016

The provider's business location address is:

4901 FOREST PARK AVE
DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 362-5060
Fax: (314) 362-6959

The NPI 1902254915 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	2023013959	MISSOURI	No
2	208000000X	Pediatrics	2023013959	MISSOURI	No
3	208M00000X	Hospitalist	2023013959	MISSOURI	No
4	208D00000X	General Practice	2023013959	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200124875	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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