Active NPI
David Vaughn, MD
- Emergency Medicine Physician
- Boonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01044912A
- Practice address
- 1116 Millis Ave
Boonville, IN 47601-2242 - Phone
- (812) 897-4800
- Fax
- (812) 897-7375
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01044912A | IN | Primary |
Addresses
Primary practice location
1116 Millis Ave
Boonville, IN 47601-2242
Mailing address
6422 Venice Dr
Newburgh, IN 47630-6902
Phone (812) 490-0454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01044912A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | 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 |
| 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 |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
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
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
dba Advanced Orthopedics
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1124231493
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1013951219
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
-
dba Daviess Community Hospital Montgomery Medical Clinic
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
-
dba DCH ER Physicians Group
- Emergency Care Clinic/Center
- Washington, IN
- NPI 1417558271
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831200237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6422 VENICE DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476306902",
"telephone_number": "812-490-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 MILLIS AVE",
"city": "BOONVILLE",
"state": "IN",
"postal_code": "476012242",
"telephone_number": "812-897-4800",
"fax_number": "812-897-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01044912A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, IN
- Kimberly Tatum, FNP
- Tieman Chiropractic and Rehabilitation LLC
- Dennis Paul Tieman, D.C.
- Tiny Triumphs Pediatric Therapy , LLC
- Tri-State Behavioral Health LLC
- Vituity-HM Services PC
- James Volz
- Nicholas Joseph Wagner, DDS
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0566)
- Wal-Mart Stores East, LP (Vision Center 30-0566)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.