Cory A Vaughn, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

E12021 Issued in AR

Practice address

6823 Isaacs Orchard Rd
Springdale, AR 72762-6096

Phone

(479) 750-2080

Fax

(479) 750-2082

NPI assigned

Apr 8, 2014

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Otolaryngology

Education

University of Tennessee, HSC, College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manning,Johnson and Spencer, PAGroup PAC ID 3870594641, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
• Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
• Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cvaughn23196@washingtonregional.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manning,Johnson & Spencer, PA

  dba Ear, Nose and Throat Center of the Ozarks

  • Specialist
  • Springdale, AR
  • NPI 1053492504
  Medicare reassignment Care Compare group NPD
• Mercy Health Northwest Arkansas Communities

  • Otolaryngology Physician
  • Rogers, AR
  • NPI 1508167677
  Medicare reassignment NPD
• Lakeside Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Springdale, AR
  • NPI 1396634820
  NPD
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD

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

• Mercy Hospital Rogers

  dba Mercy Hospital Northwest Arkansas

  • General Acute Care Hospital
  • Rogers, AR
  • NPI 1316902414
  Care Compare affiliation
• Northwest Arkansas Hospitals, LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation
• Washington Regional Medical Center

  • General Acute Care Hospital
  • Fayetteville, AR
  • NPI 1083609150
  Care Compare affiliation

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1821417833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 ISAACS ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-750-2080",
            "fax_number": "479-750-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 ISAACS ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-750-2080",
            "fax_number": "479-750-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CORY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E12021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Alston Vance, D.O.
• Travis Lane Vance, MHPP
• Ashley Vang
• Sara E Vann, P.A.
• Jordan Vanwormer
• Kimberly Vaught, LCSW
• Meredith Erica Vaught, PHARMD
• Andrea Veer
• Carlos Vela Sandoval, MD
• Carol Ruth Vela, RN

• Otolaryngology Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Otolaryngology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.