W Wallace Vaught Jr MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

13703 Issued in SC

Legal business name

W WALLACE VAUGHT JR MD PC

Practice address

800 E Cheves St
Ste 350
Florence, SC 29506-2650

Phone

(843) 665-2000

Fax

(843) 669-1701

NPI assigned

Oct 19, 2007

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

W Wallace Vaught Jr., MD

Title

MD

Phone

(843) 665-2000

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Winston Wallace Vaught Jr., MD

  • Urology Physician
  • Florence, SC
  • NPI 1053310110
  NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1932398559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST",
            "address_2": "STE 350",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-665-2000",
            "fax_number": "843-669-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHEVES ST",
            "address_2": "STE 350",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062650",
            "telephone_number": "843-665-2000",
            "fax_number": "843-669-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W WALLACE VAUGHT JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHT",
        "authorized_official_first_name": "W WALLACE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-665-2000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "13703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137033",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vibrant Diagnostics LLC
• Vicki Chung DMD, PC
• Jacob Scott Vining, DO
• Virtuous Primary Care
• Visionworks, Inc. (Visionworks)
• W. Dean Lorenz MD PC (Florence Rehabilitation Medicine)
• Cynthia K. Waddill, FNP
• James David Wade, CRNA
• Linda Wagner-Seiss, OTR/L
• Tori Smith Wagner, MS CCC-SLP

• Urology Physician in Florence, SC
• Providers in Florence, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.