David Vaughn, MD
Individual provider Active NPI Emergency Medicine Physician · Boonville, IN
NPI 1831200237 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831200237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01044912A (IN)
- Practice address
- 1116 Millis Ave
Boonville, IN 47601-2242 - Phone
- (812) 897-4800
- Fax
- (812) 897-7375
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110316000135 | IN | Practitioner - Emergency Medicine | 7810179603 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044912A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01044912A | IN | Yes |
Addresses
Primary practice location
1116 Millis Ave
Boonville, IN 47601-2242
Mailing address
6422 Venice Dr
Newburgh, IN 47630-6902
Phone (812) 490-0454
Other providers in Boonville, IN
- Kimberly Tatum
- Tieman Chiropractic and Rehabilitation LLC
- Dennis Paul Tieman
- Tiny Triumphs Pediatric Therapy , LLC
- Tri-State Behavioral Health LLC
- Vituity-HM Services PC
- James Volz
- Nicholas Joseph Wagner
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
All providers in Boonville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.