Jefferson Roger Vaughan Sr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0055039 Issued in FL

Practice address

1002 S Old Dixie Hwy
Ste 203
Jupiter, FL 33458-7202

Phone

(561) 741-5695

Fax

(561) 741-5697

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvaughan22022@jupitermedicalcenter.direct-ci.com

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.

• Jupiter Medical Center Physicians Group Inc

  • Cardiovascular Disease Physician
  • Jupiter, FL
  • NPI 1396992475

  Surgery

  Medicare reassignment Care Compare group NPD
• Jefferson R Vaughan MD Facs PC

  • Surgery Physician
  • Birmingham, AL
  • NPI 1932146354
  NPD (past) Authorized official
• Jupiter Medical Center Physicians Group Inc

  dba JMC Community Care

  • Pediatric Surgery Physician
  • Jupiter, FL
  • NPI 1093344376
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1780649988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7532",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334687532",
            "telephone_number": "561-741-5695",
            "fax_number": "561-741-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S OLD DIXIE HWY",
            "address_2": "STE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587202",
            "telephone_number": "561-741-5695",
            "fax_number": "561-741-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "JEFFERSON",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0055039",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00026990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto A Vargas, DMD
• Andres Vargas, DDS
• Ellen Vargas, DMD
• Nikki Clark Vargas, ARNP
• Paul Vargas, PTA
• Amiee M. Vaughn, D.M.D.
• Cali Vaughn
• Teresa G Vaughn, CRNFA
• Erika M. Vazquez-Cuffe, MD
• Adriana Vazquez

• Surgery Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.