NPIMap

Individual provider Active NPI

Nathan Andrew Vaughan, MD

  • Cardiovascular Disease Physician
  • Scott Depot, WV
National Provider Identifier
1780659706
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13194 Issued in WV
Practice address
300 Corporate Center Drive
Scott Depot, WV 25560
Phone
(304) 691-6732
Fax
(304) 691-6919
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13194 WV Primary

Addresses

Primary practice location

300 Corporate Center Drive
Scott Depot, WV 25560

Mailing address

1249 15TH St Ste 4000
Huntington, WV 25701-3663
Phone (304) 691-8500

Other identifiers 1

IdentifierTypeStateIssuer
0084955000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nathan.vaughan@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180823002515 WV Practitioner - Cardiovascular Disease (Cardiology) 8224935390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Center, IncGroup PAC ID 6800866187, 7 clinicians
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians

Practice addresses (Care Compare)

2900 1St Ave
Huntington, WV 25702-1241
Phone (304) 526-1116

300 Corporate Ctr Dr
Scott Depot, WV 25560-9026
Phone (304) 691-6800

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13194WVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Cardiovascular Disease CurrentSince Jun 18, 2018 Accepting new patients
St. Mary'S Himg, LLC CurrentSince Sep 1, 2025 Accepting new patients
St. Mary'S Medical Center Inc Current Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jun 18, 2018 Accepting new patients
St Marys Medical Center, Inc. CurrentSince Mar 10, 2019 Accepting new patients
Charleston Cardiology Group PLLC Cardiovascular Disease PastSince Jan 12, 2000 Accepting new patients
Associated Radiologists, Inc. Past Accepting new patients
Cabell Huntington Hospital Inc PastSince Jun 18, 2018 Accepting new patients
Community Health Association Past Accepting new patients

Locations

3075 US Route 60
Ste D265
Huntington, WV 25705
Phone (304) 526-1234

2900 1st Ave
#77
Huntington, WV 25702
Phone (304) 526-1116

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1249 15th St
Ste 4000
Huntington, WV 25701
Phone (304) 691-8500

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

1249 15th St
Ste 493
Huntington, WV 25701

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
  • Direct secure messaging: nathan.vaughan@marshall.cernerdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1780659706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST STE 4000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013663",
            "telephone_number": "304-691-8500",
            "fax_number": "304-691-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DRIVE",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "25560",
            "telephone_number": "304-691-6732",
            "fax_number": "304-691-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "13194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084955000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.vaughan@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Corporate Center Drive",
            "city": "Scott Depot",
            "state": "WV",
            "country_code": "US",
            "postal_code": "25560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.