Jennifer Ann Vaughn, M.D.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

57082 Issued in AZ

Practice address

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone

(602) 933-1213

Fax

(602) 933-1214

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, AZ, NH, CT4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians

Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians

Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, 430 clinicians

Phoenix Children'S HospitalGroup PAC ID 0446278584, 431 clinicians

Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035
• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Phoenix Children'S Hospital

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment Care Compare group NPD
• Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1548638265

  AZ, NH

  Medicare reassignment Care Compare group NPD
• Connecticut Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Wethersfield, CT
  • NPI 1740315761

  AZ

  Medicare reassignment Care Compare group
• Farmington Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1275987802

  AZ

  Medicare reassignment Care Compare group
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951

  AZ

  Medicare reassignment Care Compare group
• Tic, LLC

  • Diagnostic Radiology Physician
  • Tolland, CT
  • NPI 1457702813

  AZ

  Medicare reassignment NPD
• Phoenix Children'S Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation
• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation
• North Shore Medical Center, Inc.

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation
• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Dover, NH
  • NPI 1033118104
  Care Compare affiliation
• Wentworth Douglass Hospital

  • Diabetes Educator Registered Nurse
  • Dover, NH
  • NPI 1407385198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1073775482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-1213",
            "fax_number": "602-933-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "262812",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AZ",
            "license": "57082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472966",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Vaughn
• Drew Chandler Vaughn, PHARM.D.
• James Vaughn, D.D.S.
• Jeffrey M Vaughn, D.O.
• Jenna Vaughn, PHARMD
• Kyle Vaughn, D.P.M.
• Taylor Vaughn, CGC
• Wesley Vaughn, M.D.
• Vault Admin Services, LLC - Prior Auth
• Madison Taylor Vaupell

• Neuroradiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neuroradiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.