Active NPI
Vaughn Payne, MD
- Nuclear Cardiology Physician
- Prestonsburg, KY
National Provider Identifier
1023042546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- 25264
- Practice address
- 1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889 - Phone
- (606) 886-0892
- Fax
- (606) 886-9746
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Cardiology Physician | 207UN0901X | 25264 | KY | Primary |
Addresses
Primary practice location
1279 Old Abbott Mountain Rd
Prestonsburg, KY 41653-1889
Mailing address
1801 SE Hillmoor Dr
Ste C-208
Port St Lucie, FL 34952-7574
Phone (772) 337-5083
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64252646 | Medicaid | KY | |
| 2734474 | Medicaid | OH | |
| 0198900000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Hospitals Inc | Past | Accepting new patients | |
| Highlands Medical Partners II | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sleep Disorder Diagnostic Clinic/Center
- Prestonsburg, KY
- NPI 1720211618
-
- Cardiovascular Disease Physician
- Louisville, KY
- NPI 1295782332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1023042546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR",
"address_2": "STE C-208",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527574",
"telephone_number": "772-337-5083",
"fax_number": "772-337-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 OLD ABBOTT MOUNTAIN RD",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531889",
"telephone_number": "606-886-0892",
"fax_number": "606-886-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "VAUGHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "KY",
"license": "25264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64252646",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2734474",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0198900000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.