ELLEN CLARKE VAUGHEY (NPI# 1346257219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346257219 |
| Entity Type | Individual |
| Full Name | ELLEN CLARKE VAUGHEY |
| Credential | MD |
| Practice Address |
3289 Woodburn Rd #350 Annandale VA 22003 |
| Practice Telephone | 7036418616 |
| Practice Fax Number | 7036419468 |
| Mailing Telephone | 7036418616 |
| Mailing Fax Number | 7036419468 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101049705 | VA | Allopathic & Osteopathic Physicians |
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101049705 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
3289 WOODBURN RD #350 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156373 | John C Elkas | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 320, Annandale, VA 22003-6800 | 2006-03-02 |
| 1710349105 | Nazaneen Nassiry | Nurse Practitioner | 3289 Woodburn Rd, 200, Annandale, VA 22003-6800 | 2016-03-24 |
| 1114399466 | Ishmail Kamara | Nurse Practitioner | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2015-10-27 |
| 1407194186 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2013-01-30 |
| 1073807996 | Aabha Jain | Internal Medicine | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2011-06-08 |
| 1255646311 | Apheresis Associates of Northern Virginia, LLC | Clinic/Center | 3289 Woodburn Rd, Suite 220, Annandale, VA 22003-6800 | 2010-08-13 |
| 1366755829 | Heather Blackstock Causseaux | Nurse Practitioner | 3289 Woodburn Rd, Suite 130, Annandale, VA 22003-6800 | 2010-07-26 |
| 1134449051 | Old Dominion Pathology Associates, LLC | Pathology | 3289 Woodburn Rd, Ste 220, Annandale, VA 22003-6800 | 2010-06-02 |
| 1881925311 | Reconstructive Plastic Surgery Consultants, LLC | Plastic Surgery | 3289 Woodburn Rd, Suite 245, Annandale, VA 22003-6800 | 2010-01-22 |
| 1780824367 | Shalika Basnayake Katugaha | Internal Medicine | 3289 Woodburn Rd, Suite 200, Annandale, VA 22003-6800 | 2009-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003832023 | Thomas Ambrose Mccabe | Internal Medicine | Northern Virginia Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 | 2006-07-14 |
| 1821014846 | Robert Leslie Bloom | Internal Medicine | Northern Virigina Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 | 2006-07-14 |
| 1710993001 | Eric Anthony Libre | Internal Medicine | 3289 Woodburn Road, 350 Northern Virginia Pulmonary & Critical Care Assoc, Annandale, VA 22003 | 2006-07-31 |
| 1629084918 | Matthew David Williams | Internal Medicine | 3289 Woodburn Road, 350 Northern Virginia Pulmonary & Critical Care Assoc P, Annandale, VA 22003 | 2006-07-31 |
| 1538175823 | James Paul Lamberti | Internal Medicine | 3289 Woodburn Road, 350 Northern Virginia Pulmonary & Critical Care Assoc P, Annandale, VA 22003 | 2006-07-31 |
| 1730137175 | Thieu M Do | Internal Medicine | 7611 Little River Tpke, Suite 108 W, Annandale, VA 22003-2602 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920205 | Katelynn Suzanne Doeppe | Internal Medicine | 1401 Johnstn Wllis Dr, North Chesterfield, VA 23235-4730 | 2020-10-20 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1417459058 | William A. Knaus | Internal Medicine | 1926 Lewis Mountain Rd, Charlottesville, VA 22903-2413 | 2018-02-28 |
| 1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1821474289 | Ravi Jagdish Patel | Internal Medicine | 6380 Homewood Cir, Roanoke, VA 24018-8308 | 2015-08-07 |
| 1538587761 | Gretchen Elder Brayman | Internal Medicine | 4000 Coliseum Dr Ste 320, Hampton, VA 23666-5983 | 2014-04-04 |
| 1235448911 | Anish S. Desai, Md, LLC | Internal Medicine | 8301 Arlington Blvd Ste T5, Fairfax, VA 22031-2904 | 2010-09-29 |
| 1982861795 | Yu Chi C Wang | Internal Medicine | 1625 N George Mason Dr Ste 355, Arlington, VA 22205-3690 | 2008-05-20 |
| 1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
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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.