DR. WALLACE CARROLL VAUGHAN JR. (NPI# 1104906510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104906510 |
Entity Type | Individual |
Full Name | DR. WALLACE CARROLL VAUGHAN JR. |
Credential | M.D. |
Practice Address |
6980 Winton Blount Blvd Montgomery AL 36117-3556 |
Practice Telephone | 3342770484 |
Practice Fax Number | 3342728877 |
Mailing Telephone | 3342770484 |
Mailing Fax Number | 3342728877 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2015-11-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 13438 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS | 17143 | 01 | |
RR MCARE | 040002702 | 01 | |
AL | 528701330 | 05 |
Street Address |
6980 WINTON BLOUNT BLVD |
City | MONTGOMERY |
State | AL |
Zip Code | 36117-3556 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093749673 | Charles E Morgan | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-07-10 |
1376706549 | Laura Jean Anderson | Audiologist | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2008-07-08 |
1124108535 | Central Alabama Ent Associates | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
Find all providers in zip 36117 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
1467543058 | Alan Craig Chapman | Otolaryngology | 1773 Platt Pl, Montgomery, AL 36117-7762 | 2006-09-27 |
1093749673 | Charles E Morgan | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-07-10 |
1174571749 | Phillip Scott Ballinger | Otolaryngology | 300 Taylor Rd Ste 600, Montgomery, AL 36117-3551 | 2006-05-05 |
1336143999 | Susan W Aguiar | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2005-06-10 |
1316949472 | Aubrey Ayers Stabler Jr. | Otolaryngology | 1722 Pine St, Suite 804, Montgomery, AL 36106-1108 | 2005-06-02 |
1720599012 | Jackson Hospital & Clinic, Inc. | Otolaryngology | 1111 Olive St, Montgomery, AL 36106-1129 | 2017-10-13 |
1255693644 | Thomas W. Stark, Md Pllc | Otolaryngology | 18059 Highway 105 W, Suite 115, Montgomery, TX 77356-5000 | 2012-06-12 |
1558449991 | Ent Associates of Alabama Pa | Otolaryngology | 1773 Platt Pl, Montgomery, AL 36117-7762 | 2006-11-02 |
1124108535 | Central Alabama Ent Associates | Otolaryngology | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 2006-10-17 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36117 |
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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.