Organization Active NPI

Vaught Infusion Services, PLLC

  • Neurology Physician
  • Crab Orchard, WV
National Provider Identifier
1326884057
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
VAUGHT INFUSION SERVICES, PLLC
Practice address
1404 Robert C Byrd Dr Ste 202
Crab Orchard, WV 25827-9470
Phone
(304) 252-4222
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Amy O'Neal
Title
Practice Administrator
Phone
(304) 252-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1404 Robert C Byrd Dr Ste 202
Crab Orchard, WV 25827-9470

Mailing address

1404 Robert C Byrd Dr Ste 202
Crab Orchard, WV 25827-9470
Phone (304) 252-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009003531 WV Part B Supplier - Clinic/Group Practice 7719418193 Receives reassigned benefits from 1 practitioner
Practice locations: Crab Orchard, WV

National Provider Directory

National Provider Directory

Locations

1404 Robert C Byrd Dr
Ste 202
Crab Orchard, WV 25827
Phone (304) 252-4222

Practitioners & affiliated clinicians

Practitioners 1

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": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1326884057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 ROBERT C BYRD DR STE 202",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258279470",
            "telephone_number": "304-252-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 ROBERT C BYRD DR STE 202",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258279470",
            "telephone_number": "304-252-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHT INFUSION SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "304-252-4222"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crab Orchard, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.