Organization Active NPI

Paul a Vaughan, MD, PA

  • Orthopaedic Surgery of the Spine Physician
  • Dallas, TX
National Provider Identifier
1790932960
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
H6973 Issued in TX
Legal business name
PAUL A VAUGHAN, MD, PA
Practice address
9080 Harry Hines Blvd
Suite 110
Dallas, TX 75235-1720
Phone
(214) 631-7880
Fax
(214) 631-7558
NPI assigned
Aug 19, 2008
Last updated
Mar 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Paul A Vaughan, MDNPI 1063509917
Title
Owner
Phone
(214) 631-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X H6973 TX Primary

Addresses

Primary practice location

9080 Harry Hines Blvd
Suite 110
Dallas, TX 75235-1720

Mailing address

9080 Harry Hines Blvd
Suite 110
Dallas, TX 75235-1720
Phone (214) 631-7880

Other identifiers 3

IdentifierTypeStateIssuer
0325938-01MedicaidTX
TXB117214OtherTXMEDICARE GROUP PTAN
TXB117215OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1846 Interstate 10 S
Ste 102
Beaumont, TX 77707
Phone (214) 631-7880

9080 Harry Hines Blvd
Ste 210
Dallas, TX 75235
Phone (214) 351-8450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1790932960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 HARRY HINES BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351720",
            "telephone_number": "214-631-7880",
            "fax_number": "214-631-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 HARRY HINES BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752351720",
            "telephone_number": "214-631-7880",
            "fax_number": "214-631-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A VAUGHAN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-631-7880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "H6973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325938-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "TXB117214",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB117215",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.