William R Vaughn, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01031538 Issued in IN

Practice address

200 S 6TH St
Vincennes, IN 47591-1122

Phone

(812) 882-4320

Fax

(812) 882-2706

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urology Specialists PC

  • Urology Physician
  • Vincennes, IN
  • NPI 1033278213
  NPD (past) Authorized official

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1699761957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911122",
            "telephone_number": "812-882-4320",
            "fax_number": "812-882-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 6TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911122",
            "telephone_number": "812-882-4320",
            "fax_number": "812-882-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01031538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100346420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "86988",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Elizabeth Vanblaricum
• Rachel Lynne Vance, RN
• D John Vanderbeck, PHD HSPP
• Emili Vangundy, MSW
• Leena Varshney, MD
• David A Verdeyen, ATC
• Charles C Vieck, DDS
• Kena Vieck, MSW
• Jennifer Renee Vieke, LPTA
• Alyssa Villanueva, RBT

• Urology Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.