Individual provider Active NPI

Paula Christian Vaughan, PA-C

  • Medical Physician Assistant
  • Groton, MA
National Provider Identifier
1326154279
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2430 Issued in MA
Practice address
100 Boston Rd.
Suite E Groton Medical Associates
Groton, MA 01450
Phone
(978) 448-4300
Fax
(978) 448-4040
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PA9102829 FL
Medical Physician Assistant 363AM0700X 2430 MA
Medical Physician Assistant 363AM0700X PA2430 MA Primary

Addresses

Primary practice location

100 Boston Rd.
Suite E Groton Medical Associates
Groton, MA 01450

Mailing address

100 Boston Rd.
Suite E Groton Medical Associates
Groton, MA 01450
Phone (978) 448-4300

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2430MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Goss, Parker & Quinsey, P.a. Obstetrics & Gynecology Past Accepting new patients
Womencare PA 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1326154279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD.",
            "address_2": "SUITE E GROTON MEDICAL ASSOCIATES",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "01450",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON RD.",
            "address_2": "SUITE E GROTON MEDICAL ASSOCIATES",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "01450",
            "telephone_number": "978-448-4300",
            "fax_number": "978-448-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "PAULA",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "PA9102829",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2430",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA2430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.