Individual provider Active NPI

Jeremy B Vaughan, MD

  • Obstetrics & Gynecology Physician
  • Cedar Hill, TX
National Provider Identifier
1215146485
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N8590 Issued in TX
Practice address
210 S Broad St
Cedar Hill, TX 75104-2664
Phone
(972) 294-7112
Fax
(972) 426-6977
NPI assigned
May 22, 2007
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N8590 TX 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) 294-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000414 TX Practitioner - Obstetrics/Gynecology 5294903043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

210 S Broad St
Thma Midlobbgyn
Cedar Hill, TX 75104-2664
Phone (972) 294-7112

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7281

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8590TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Mar 17, 2020 Accepting new patients
Arlington Physician Services PA Obstetrics & Gynecology CurrentSince Apr 17, 2020 Accepting new patients
Vaughan Association of Obstetrics and Gynecology Obstetrics & Gynecology CurrentSince Jul 1, 2011 Accepting new patients
Huguley Medical Associates CurrentSince Apr 1, 2025 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Texas Health Hospital Mansfield Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

210 S Broad St
Cedar Hill, TX 75104
Phone (972) 294-7112

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

Interoperability endpoints

  • Direct secure messaging: jeremy.vaughan.1@3543.direct.athenahealth.com
  • Direct secure messaging: jvaughan4537120@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1215146485",
    "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": "972-294-7112",
            "fax_number": "972-426-6977"
        },
        {
            "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": {
        "last_name": "VAUGHAN",
        "first_name": "JEREMY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N8590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.