NPIMap

Organization Active NPI

Jefferson R Vaughan MD PA

  • Specialist
  • Jupiter, FL
National Provider Identifier
1124215363
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME55039 Issued in FL
Legal business name
JEFFERSON R VAUGHAN MD PA
Practice address
1002 S Old Dixie Hwy
Ste 203
Jupiter, FL 33458-7202
Phone
(561) 741-5695
Fax
(561) 741-5697
NPI assigned
Oct 2, 2007
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Jefferson Roger Vaughan Sr., M.D.NPI 1780649988
Title
Owner/Surgeon
Phone
(561) 741-5695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME55039 FL Primary

Addresses

Primary practice location

1002 S Old Dixie Hwy
Ste 203
Jupiter, FL 33458-7202

Mailing address

PO Box 7532
Jupiter, FL 33468-7532
Phone (561) 741-5695

National Provider Directory

National Provider Directory

Locations

1002 S Old Dixie Hwy
Ste 203
Jupiter, FL 33458
Phone (561) 741-5695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1124215363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7532",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334687532",
            "telephone_number": "561-741-5695",
            "fax_number": "561-741-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "STE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-741-5695",
            "fax_number": "561-741-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON R VAUGHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "561-741-5695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME55039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.