Organization Active NPI

Vaughan Association of Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Cedar Hill, TX
National Provider Identifier
1184913873
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Jeremy Vaughan, M.D.NPI 1215146485
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
282763601MedicaidTX

Other names 1

  • Cedar Hill Women's Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2026154Cedar Hill Women'S Center210 S Broad St, Cedar Hill, TX 75104Certificate of waiverJul 17, 2027
45D2334436Thma Cedar Hill Women'S Center210 S. Broad Street, Cedar Hill, TX 75104Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.