DR. JOHN WATT VAUGHAN (NPI# 1073522470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073522470 |
| Entity Type | Individual |
| Full Name | DR. JOHN WATT VAUGHAN |
| Credential | M.D. |
| Practice Address |
7810 Providence Rd Suite 102 Charlotte NC 28226-2954 |
| Practice Telephone | 7045436636 |
| Practice Fax Number | 7047524185 |
| Mailing Telephone | 7045436636 |
| Mailing Fax Number | 7047524185 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00-33439 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 84873 | 01 |
| NC | 8984873 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174530539 | John B. Vaughan | Chiropractor | 589 Dartmouth St, S Dartmouth, MA 02748-2516 | 2006-08-01 |
| 1992232680 | John Joseph Vaughan Jr. | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2017-05-12 |
| 1669528329 | John W Vaughan | Emergency Medicine | 506 E San Antonio St, Victoria, TX 77901-6060 | 2007-01-26 |
| 1932289626 | John C. Vaughan | Otolaryngology | 9850 Genesee Ave, Suite 650, La Jolla, CA 92037-1224 | 2006-10-16 |
| 1821061797 | John T Vaughan | Marriage & Family Therapist | 1 Boone Rd, Bremerton, WA 98312-1894 | 2006-02-09 |
| 1538154851 | John J Vaughan | Orthopaedic Surgery | 1760 Nicholasville Rd, Suite 604, Lexington, KY 40503-1471 | 2005-09-13 |
| Street Address |
7810 PROVIDENCE RD SUITE 102 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346201431 | Jason Drew Clark | Dentist | 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 | 2006-03-29 |
| 1891311312 | Taylor Niara Ross | Physician Assistant | 7810 Providence Rd, Charlotte, NC 28226-2954 | 2020-06-20 |
| 1063044063 | Susannah Short | Nurse Practitioner | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2020-02-07 |
| 1588220586 | Fikile Mpofu | Nurse Practitioner | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2019-05-15 |
| 1417455809 | Andrea Wallace | Nurse Practitioner | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2018-01-31 |
| 1588188155 | Margaret Richards | Nurse Practitioner | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2017-07-26 |
| 1083033161 | Laura Pekman | Obstetrics & Gynecology | 7810 Providence Rd, Ste 101, Charlotte, NC 28226-2954 | 2014-04-16 |
| 1295150449 | Thomas Tate | Physician Assistant | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2014-02-25 |
| 1154666402 | Kay A Love | Nurse Practitioner | 7810 Providence Rd, Suite 102, Charlotte, NC 28226-2954 | 2012-11-27 |
| 1205182359 | Shonda Bowers | Nurse Practitioner | 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1881223139 | Renew Health and Wellness | Family Medicine | 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 | 2020-04-07 |
| 1164052957 | Partners In Integrated Healthcare & Wellness Pllc | Family Medicine | 9414b Albemarle Rd, Charlotte, NC 28227-3346 | 2020-01-21 |
| 1578103636 | Madelyn Laine Eudy | Family Medicine | 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 | 2020-01-07 |
| 1518514686 | L'renda Arkie Adams | Family Medicine | 8724 Bodkin Ct, Charlotte, NC 28215-7356 | 2019-08-22 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1003460213 | Companion Health, Pllc | Family Medicine | 5029 Lady Fern Cir, Charlotte, NC 28211-4182 | 2019-07-25 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.