Individual provider Active NPI

Richard Thomas Vagley, MD

  • Plastic Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1295816775
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME138014 Issued in FL
Practice address
Spectrum Aesthetics
51 SW 42ND Avenue
Coral Gables, FL 33134-1770
Phone
(305) 514-0358
Fax
(866) 572-1427
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD011041E PA
Plastic Surgery Physician 208200000X S4408 TX
Plastic Surgery Physician 208200000X ME138014 FL Primary

Addresses

Primary practice location

Spectrum Aesthetics
51 SW 42ND Avenue
Coral Gables, FL 33134-1770

Mailing address

343 Majorca Avenue
Unit 202
Coral Gables, FL 33134-4325
Phone (305) 362-8678

Other identifiers 1

IdentifierTypeStateIssuer
390055MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
ME138014FLMDPlastic Surgery Physician
S4408TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1295816775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MAJORCA AVENUE",
            "address_2": "UNIT 202",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344325",
            "telephone_number": "305-362-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPECTRUM AESTHETICS",
            "address_2": "51 SW 42ND AVENUE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341770",
            "telephone_number": "305-514-0358",
            "fax_number": "866-572-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGLEY",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD011041E",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "S4408",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME138014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.