Organization Active NPI

Vaughn Medical Consulting

  • Otolaryngology Physician
  • Zachary, LA
National Provider Identifier
1679015010
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
292314 Issued in LA
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

Updated by the provider on Nov 16, 2016

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.