Active NPI
Christopher J Vaughn, MD
- Diagnostic Radiology Physician
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 210074
- Practice address
- 5100 W Taft Rd
Suite 2a
Liverpool, NY 13088-3807 - Phone
- (315) 452-2555
- Fax
- (315) 452-2559
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Diagnostic Radiology Physician
- Rome, NY
- NPI 1538466115
Diagnostic Radiology, NY
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1235122425
Diagnostic Radiology, NY
-
- Diagnostic Radiology Physician
- Liverpool, NY
- NPI 1093709180
Diagnostic Radiology, NY
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
NY
-
- Diagnostic Radiology Physician
- Albany, NY
- NPI 1508850579
Diagnostic Radiology
-
- Radiology Clinic/Center
- East Syracuse, NY
- NPI 1538153671
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1215181482
-
- Radiology Clinic/Center
- Federal Way, WA
- NPI 1184790032
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of Ny Upstate Medical University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Imaging Associates PLLCProspect Hill Radiology Group P CMohawk Glen Radiology Associates of Cny PLLC
Practice addresses (Care Compare)
104 Union Ave
Syracuse, NY 13203-1845
Phone (315) 703-5114
300 State Route 104
Suite 3
Oswego, NY 13126-2956
Phone (315) 216-6060
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5274
4109 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 329-7555
4117 Medical Ctr Dr
Suite 117
Fayetteville, NY 13066-6600
Phone (315) 452-2555
5100 W Taft Rd
Liverpool, NY 13088-4841
5100 W Taft Rd
Suite 1a
Liverpool, NY 13088-3808
Phone (315) 334-9729
5301 W Genesee St
Suite 250
Camillus, NY 13031-2238
Phone (315) 344-9729
615 N Seward Ave
Auburn, NY 13021-2107
Phone (315) 760-3913
8200 Oswego Rd
Liverpool, NY 13090-1567
Phone (315) 452-2555
91 Perimeter Rd
Suite 110
Rome, NY 13441-4018
Phone (315) 334-9729
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
- Crouse Hospital
- University Hospital S U N Y Health Science Center
- Oswego Hospital
- Samaritan Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070615000581 | NY | Practitioner - Diagnostic Radiology | 4082643382 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210074 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohawk Glen Radiology Associates of Cny PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Prospect Hill Radiology Group P C | Diagnostic Radiology | Current | Accepting new patients |
| St. Josephs Imaging Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Union Avenue Open MRI LLC | Current | Accepting new patients | |
| Tra-Minw P S | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra-Minw P S | Past | Accepting new patients | |
| Albany Radiology Associate PC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients | |
| Medical Imaging Center LLP | Past | Accepting new patients |
Locations
615 N Seward Ave
Auburn, NY 13021
Phone (315) 253-9749
5301 W Genesee St
Ste 250
Camillus, NY 13031
Phone (315) 344-9729
4109 Medical Center Dr
Ste 109
Fayetteville, NY 13066
4109 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7555
4117 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-4968
5100 W Taft Rd
Ste 1A
Liverpool, NY 13088
Phone (315) 334-9729
5100 W Taft Rd
Ste 2C
Liverpool, NY 13088
Phone (315) 452-2666
8200 Oswego Rd
Liverpool, NY 13090
Phone (315) 452-2555
5100 W Taft Rd
Ste 2A
Liverpool, NY 13088
Phone (315) 452-2555
300 State Route 104
Ste 3
Oswego, NY 13126
Phone (315) 216-6060
91 Perimeter Rd
Ste 110
Rome, NY 13441
Phone (315) 334-9729
104 Union Ave
Ste 905
Syracuse, NY 13203
Phone (315) 703-5114
109 Pine St
Syracuse, NY 13210
Phone (315) 391-6263
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
222 15th Ave SE
Puyallup, WA 98372
2502 S Union Ave
Tacoma, WA 98405
Phone (253) 759-5900
Interoperability endpoints
- vchristopher2410202@direct.trinity-health.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 210074 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5100 W Taft Rd
Suite 2a
Liverpool, NY 13088-3807
Mailing address
4567 Crossroads Park Dr
Liverpool, NY 13088-3589
Phone (315) 295-2100
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01821907 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2014.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1497728091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589",
"telephone_number": "315-295-2100",
"fax_number": "315-295-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"address_2": "SUITE 2A",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-452-2555",
"fax_number": "315-452-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "210074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01821907",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.