DR. WALLACE CARROLL VAUGHAN JR.


Address: 6980 Winton Blount Blvd, Montgomery, AL 36117-3556
Phone: 3342770484

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 13438 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS 17143 01
RR MCARE 040002702 01
AL 528701330 05

Office Location

Street Address 6980 WINTON BLOUNT BLVD
City MONTGOMERY
State AL
Zip Code 36117-3556

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MONTGOMERY
Zip Code 36117

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Dataset Information

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.

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