Organization Active NPI

Vaughn Gynecology Associates, LLC

  • Gynecology Physician
  • Wynnewood, PA
National Provider Identifier
1649238601
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD023278E Issued in PA
Legal business name
VAUGHN GYNECOLOGY ASSOCIATES, LLC
Practice address
100 E Lancaster Ave
Suite 353 East
Wynnewood, PA 19096-3450
Phone
(610) 896-4380
Fax
(610) 649-8058
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Dr. Beverly M Vaughn, M.D.NPI 1568420529
Title
Physician/Owner
Phone
(610) 896-4380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD023278E PA Primary

Addresses

Primary practice location

100 E Lancaster Ave
Suite 353 East
Wynnewood, PA 19096-3450

Mailing address

100 E Lancaster Ave
Suite 353 East
Wynnewood, PA 19096-3450
Phone (610) 896-4380

Other identifiers 1

IdentifierTypeStateIssuer
0008837780005MedicaidPA

National Provider Directory

National Provider Directory

Locations

100 E Lancaster Ave
Ste 353
Wynnewood, PA 19096
Phone (610) 649-9021

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1649238601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 353 EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-4380",
            "fax_number": "610-649-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "address_2": "SUITE 353 EAST",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-896-4380",
            "fax_number": "610-649-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN GYNECOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "610-896-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD023278E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008837780005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.