Timothy R Vaughan, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00011641 Issued in WA

Practice address

7605 SE 27TH St
Suite 153
Mercer Island, WA 98040-2835

Phone

(206) 275-4870

Fax

(206) 275-4876

NPI assigned

Dec 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558426239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "SUITE 153",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 SE 27TH ST",
            "address_2": "SUITE 153",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402835",
            "telephone_number": "206-275-4870",
            "fax_number": "206-275-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00011641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 04065)
• Fredric Tobis, M.D.
• Translational Software
• Daniel Vu Truong, DO
• Grace Valdez, ARNP
• Suzanne Vehrs
• Videll Healthcare Mercer Island, L.L.C. (Mercer Island Care and Rehabilitation Center)
• Rebekah Vigileos, NP
• Yekaterina Vinokurova, SLP
• Walgreen Co (Walgreens #03733)

• Specialist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.