Camellia Ann Vermillion
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC


Address: 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045
Phone: 5737780020

Camellia Ann Vermillion (NPI# 1275752354, PAC ID# 2466553946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1275752354
PAC ID by PECOS 2466553946
Professional Enrollment ID I20070727000498
Full Name Camellia Ann Vermillion
Organization Legal Name SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Address 2002 Kanell Blvd
Poplar Bluff
MO 63901-4045
Phone Number 5737780020
Gender F
Graduation Year 2006
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7315192515
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260160 SOUTHEASTHEALTH CENTER OF STODDARD COUNTY
260110 SOUTHEASTHEALTH
260119 POPLAR BLUFF REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 5737780020 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
2340 Katy Ln, Poplar Bluff, MO 63901-2300 5737767393 HEARTLAND WOMEN'S HEALTHCARE MO PC

Organization Information

Organization Legal Name SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Kerri R Crawley Nurse Practitioner Southeast Health Center of Stoddard County LLC 810 N Walnut St, Bernie, MO 63822-8901
Mercy Sabapathypillai Psychiatry Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Philma B Opinaldo Internal Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Robert J Jibben Family Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Mayur S Ramesh Internal Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
John A Eppolito Jr. Family Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Kristin Guethle Nurse Practitioner Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Drew Zural Satterfield Family Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Gautam Jayaswal Emergency Medicine Southeast Health Center of Stoddard County LLC 1200 N One Mile Rd, Dexter, MO 63841-1000
Meyyappan Palaniappan Internal Medicine Southeast Health Center of Stoddard County LLC 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045

Office Location

Street Address 2002 KANELL BLVD
City POPLAR BLUFF
State MO
Zip 63901-4045

Physicians in the same location

Name Specialty Organization Address
Meyyappan Palaniappan Internal Medicine Southeast Health Center of Stoddard County LLC 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045
Sierra Elaine Holiman Nurse Practitioner Southeast Health Center of Stoddard County LLC 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045
Darwin L Davis Family Practice Southeasthealth Hospital Holdings, LLC 2002 Kanell Blvd, Poplar Bluff, MO 63901-4042

Physicians in the same zip code

Name Specialty Organization Address
Alicia Marie Cisne Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Savannah Coin Nurse Practitioner Poplar Bluff Emergency Physicians, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Hanumanth K Reddy Cardiovascular Disease (cardiology) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Alexandros Georgolios Otolaryngology Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Michael J. Del Rio Thoracic Surgery Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Perry Arthur Rathbun Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Silvia Pagoada Vallecillo General Surgery Butler Physician Services, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Mark W Clark Certified Registered Nurse Anesthetist (crna) Poplar Bluff Hma Physician Management, LLC 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
James D Holden Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
Timothy P Kordick Certified Registered Nurse Anesthetist (crna) Clinical Colleagues Inc 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573
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Competitor

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City POPLAR BLUFF
Zip Code 63901
Specialty NURSE PRACTITIONER
City + Specialty POPLAR BLUFF + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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