Active NPI
Vaughn Medical Consulting
- Otolaryngology Physician
- Zachary, LA
National Provider Identifier
1679015010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 292314
- Legal business name
- VAUGHN MEDICAL CONSULTING
- Practice address
- 6110 Main St
Suite D
Zachary, LA 70791-4033 - Phone
- (504) 376-3500
- NPI assigned
- Nov 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Traci Vaughn, MD
- Title
- Owner
- Phone
- (504) 376-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 292314 | LA | Primary |
Addresses
Primary practice location
6110 Main St
Suite D
Zachary, LA 70791-4033
Mailing address
6110 Main St
Suite D
Zachary, LA 70791-4033
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1679015010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 MAIN ST",
"address_2": "SUITE D",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 MAIN ST",
"address_2": "SUITE D",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707914033",
"telephone_number": "504-376-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAUGHN MEDICAL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-376-3500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "LA",
"license": "292314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.