JOSHUA VAUGHN (NPI# 1417240508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417240508 |
| Entity Type | Individual |
| Full Name | JOSHUA VAUGHN |
| Credential | M.D. |
| Practice Address |
78 Ridgewood Dr Bangor ME 04401 |
| Mailing Address |
78 Ridgewood Dr Bangor ME 04401-2652 |
| Practice Telephone | 2073078954 |
| Mailing Telephone | 2073078954 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2018-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 269744 | MA | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
MD22211 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1477031201 | Joshua Lynn Vaughn | Licensed Vocational Nurse | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2018-08-03 |
| Street Address |
78 RIDGEWOOD DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437153293 | P. Gregory Askins | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2005-06-09 |
| 1811310485 | Jesse Jandreau | Physical Therapist | 78 Ridgewood Dr, Bangor, ME 04401 | 2014-02-01 |
| 1679913792 | Karis Ann Filteau | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2013-07-03 |
| 1942509161 | Antonios Tsismenakis | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2011-03-28 |
| 1962714246 | Claire Costanza | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2010-07-02 |
| 1942537402 | Carolyn Pollard Savage | Physician Assistant | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2009-11-04 |
| 1720244262 | Jacob David Brooks | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2008-08-04 |
| 1083824106 | Cameron Lee Trubey | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-05-24 |
| 1962627927 | Peter Alex Green | Orthopaedic Surgery | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2007-04-16 |
| 1922191865 | Penobscot Community Health Center | Family Medicine | 78 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777215 | Gregory A Taggart | Orthopaedic Surgery | 10 Wellspring Road, Biddeford, ME 04005 | 2005-11-20 |
| 1427057611 | Dirk G. Asherman | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-19 |
| 1700881638 | Portland Orthopaedic Foot and Ankle Center | Orthopaedic Surgery | 254 Western Ave, South Portland, ME 04106-2410 | 2005-06-16 |
| 1275976474 | Robert Benton Lewis IIi | Orthopaedic Surgery | 430 Bath Rd, Brunswick, ME 04011-2637 | 2013-04-08 |
| 1740559236 | Ali Abbasian Hersini | Orthopaedic Surgery | 195 Fore River Pkwy, Suite 210, Portland, ME 04102-2780 | 2011-12-29 |
| 1437440278 | Jessica Ann Faught | Orthopaedic Surgery | 195 Fore River Pkwy, Suire 210, Portland, ME 04102-2780 | 2011-04-27 |
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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.