Active NPI
Henry Dean Vaughan, D.O.
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2031
- Practice address
- 5721 NW 132ND St
Oklahoma City, OK 73142-4437 - Phone
- (405) 557-1200
- Fax
- (405) 557-1977
- NPI assigned
- Feb 6, 2006
- Last updated
- Oct 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2031 | OK | Primary |
Addresses
Primary practice location
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Mailing address
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Phone (405) 557-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100110430 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Term Care Specialists, Inc | Current | Accepting new patients | |
| Careconnectmd Oklahoma PC | Current | Accepting new patients | |
| Value Based Long Term Care J PC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Farmers Union Hospital Association | Past | Accepting new patients | |
| Beadles, Inc. | Past | Accepting new patients | |
| Bell Ave SNF Operations LLC | Past | Accepting new patients | |
| Alva Hospital Authority | Past | Accepting new patients | |
| Beaver County Nursing Home | Past | Accepting new patients | |
| Binger Nursing and Rehabilitation, LLC | Past | Accepting new patients | |
| Western Nursing Home LLC | Past | Accepting new patients | |
| Alva Hospital Authority | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820
3233 NW 10th St
Oklahoma City, OK 73107
Phone (405) 943-8366
4334 NW Expressway
Ste 175
Oklahoma City, OK 73116
Phone (405) 557-1200
5721 NW 132nd St
Oklahoma City, OK 73142
Phone (405) 557-1200
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1497761159
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1932931474
OK
-
- Internal Medicine Physician
- Oklahoma City, OK
- NPI 1578244018
-
- Skilled Nursing Facility
- Alva, OK
- NPI 1972685816
-
dba Beadles Nursing Home
- Nursing Facility/Intermediate Care Facility
- Alva, OK
- NPI 1205948338
-
- Nursing Facility/Intermediate Care Facility
- Beaver, OK
- NPI 1699756403
-
dba Bell Avenue Nursing Center
- Skilled Nursing Facility
- Elk City, OK
- NPI 1588382543
-
dba Binger Nursing and Rehabilitation
- Skilled Nursing Facility
- Binger, OK
- NPI 1770963092
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Grace Living Center - Buffalo
- Skilled Nursing Facility
- Buffalo, OK
- NPI 1821182270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1629040456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 NW 132ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731424437",
"telephone_number": "405-557-1200",
"fax_number": "405-557-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 NW 132ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731424437",
"telephone_number": "405-557-1200",
"fax_number": "405-557-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "HENRY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100110430",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.