Paul L Vaughn Associates LLC

Primary specialty

Vascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471V0106X

License

24144 Issued in AZ

Legal business name

PAUL L VAUGHN ASSOCIATES LLC

Doing business as

Desert Vascular Imaging

Practice address

2204 S Dobson Rd Ste 204
Mesa, AZ 85202-6457

Phone

(480) 491-4101

Fax

(480) 491-4102

NPI assigned

Aug 22, 2006

Last updated

Dec 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Vaughn, MDNPI 1336111798

Title

Owner

Phone

(480) 491-4101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DESERT VASCULAR IMAGING Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul L Vaughn, MD

  • Vascular Surgery Physician
  • Chandler, AZ
  • NPI 1336111798
  NPD (past) Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1548376304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-491-4101",
            "fax_number": "480-491-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S DOBSON RD STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026457",
            "telephone_number": "480-491-4101",
            "fax_number": "480-491-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL L VAUGHN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-491-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2471V0106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular-Interventional Technology",
            "state": "AZ",
            "license": "24144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT VASCULAR IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Dennis Pattik Jr., APRN-RNP, PMHNP-BC
• Jodi Patton, LPC
• Laura Patton, PTA
• Rebecca Lynn Paukune, MS CCC-SLP
• Paul H Rhee, MD, PLLC
• Paul Revere Academy, Inc.
• Kayley Paul
• Mardi K Pauling, RPH
• Amy K Paulino, RN
• Eileen Diane Paull, RN

• Radiologic Technologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.