Active NPI
Vaughan Association of Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Cedar Hill, TX
National Provider Identifier
1184913873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- VAUGHAN ASSOCIATION OF OBSTETRICS AND GYNECOLOGY
- Practice address
- 210 S Broad St
Cedar Hill, TX 75104-2664 - Phone
- (972) 294-7112
- Fax
- (972) 426-6977
- NPI assigned
- Apr 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Vaughan, M.D.
- Title
- President & Ceo
- Phone
- (972) 294-7112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
210 S Broad St
Cedar Hill, TX 75104-2664
Mailing address
210 S Broad St
Cedar Hill, TX 75104-2664
Phone (972) 693-3078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282763601 | Medicaid | TX |
Other names 1
- Cedar Hill Women's Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2026154 | Cedar Hill Women'S Center | Certificate of waiver | Jul 17, 2027 |
| 45D2334436 | Thma Cedar Hill Women'S Center | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Cedar Hill, TX
- NPI 1215146485
-
- Family Nurse Practitioner
- Cedar Hill, TX
- NPI 1902250525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1184913873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S BROAD ST",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042664",
"telephone_number": "972-693-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S BROAD ST",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042664",
"telephone_number": "972-294-7112",
"fax_number": "972-426-6977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAUGHAN ASSOCIATION OF OBSTETRICS AND GYNECOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-03",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "972-294-7112",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282763601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Hill Women's Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.