Individual provider Active NPI

Andrew Christian Vaughn, M.D.

  • Otolaryngology Physician
  • Temple, TX
National Provider Identifier
1972981439
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
BP 10053764 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(606) 813-2975
NPI assigned
May 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X BP 10053764 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

2401 S 31St St
Temple, TX 76508-0001
Phone (606) 813-2975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210505000500 KY Practitioner - Otolaryngology 8325336167 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians
Lake Cumberland Regional Hospital LLCGroup PAC ID 7214909456, 43 clinicians

Practice addresses (Care Compare)

145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000

210 Marie Langdon Dr
Manchester, KY 40962-6388

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-6599

350 Hospital Way
Suite 100
Somerset, KY 42503-1872
Phone (606) 451-2600

350 Hospital Way
Suite 100
Somerset, KY 42503-1873
Phone (606) 451-2600

353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820

53 Queendale Ctr
Beverly, KY 40913-9608
Phone (606) 598-5135

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP 10053764TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Memorial Hospital, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Memorial Hospital, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Memorial Hospital Inc. CurrentSince Dec 7, 2021 Accepting new patients
Lake Cumberland Regional Hospital LLC Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Otolaryngology CurrentSince Jul 1, 2020 Accepting new patients
Lake Cumberland Regional Hospital, LLC CurrentSince Jul 1, 2021 Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Memorial Hospital, Inc. CurrentSince Mar 2, 2022 Accepting new patients
Memorial Hospital, Inc. Current Accepting new patients

Locations

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

5184 Tex Oak Ave
Dallas, TX 75235
Phone (214) 590-6120

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300

2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000

Interoperability endpoints

  • Direct secure messaging: andrew.vaughn.1@21269.direct.athenahealth.com
  • Direct secure messaging: avaughn110158@direct.phhs.org
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1972981439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "606-813-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "606-813-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "ANDREW",
        "middle_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "BP 10053764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.