Individual provider Active NPI

Sylvester G Vaughns, M.D.

  • Adult Medicine Physician
  • Richmond, TX
National Provider Identifier
1134208259
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
F8354 Issued in TX
Practice address
2000 Dowling Dr
Richmond, TX 77469-5114
Phone
(281) 342-1126
Fax
(281) 342-0548
NPI assigned
Nov 2, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X F8354 TX Primary

Addresses

Primary practice location

2000 Dowling Dr
Richmond, TX 77469-5114

Mailing address

2000 Dowling Dr
Richmond, TX 77469-5114
Phone (281) 342-1126

Other identifiers 1

IdentifierTypeStateIssuer
138396004MedicaidTX

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1134208259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 DOWLING DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695114",
            "telephone_number": "281-342-1126",
            "fax_number": "281-342-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DOWLING DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695114",
            "telephone_number": "281-342-1126",
            "fax_number": "281-342-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHNS",
        "first_name": "SYLVESTER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "F8354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138396004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.