Organization Active NPI

Dr. Gary E. Vaughn M.D.P.a.

  • Dermatology Physician
  • Beaumont, TX
National Provider Identifier
1558650457
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E0372 Issued in TX
Legal business name
DR. GARY E. VAUGHN M.D.P.A.
Practice address
810 Hospital Dr Ste 240
Beaumont, TX 77701-4654
Phone
(409) 833-0017
NPI assigned
Mar 31, 2011
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Dr. Gary E Vaughn, M.D.NPI 1053305771
Title
President/Owner
Phone
(409) 833-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X E0372 TX Primary

Addresses

Primary practice location

810 Hospital Dr Ste 240
Beaumont, TX 77701-4654

Mailing address

810 Hospital Dr Ste 240
Beaumont, TX 77701-4654
Phone (409) 833-0017

National Provider Directory

National Provider Directory

Locations

810 Hospital Dr
Ste 240
Beaumont, TX 77701
Phone (409) 833-0017

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1558650457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR STE 240",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014654",
            "telephone_number": "409-833-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR STE 240",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014654",
            "telephone_number": "409-833-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY E. VAUGHN M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "409-833-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E0372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.