MICHAEL S VAUGHAN (NPI# 1437182102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437182102 |
| Entity Type | Individual |
| Full Name | MICHAEL S VAUGHAN |
| Credential | MD |
| Practice Address |
855 Montgomery St Fort Worth TX 76107-2553 |
| Mailing Address |
Po Box 99335 Fort Worth TX 76199-0335 |
| Practice Telephone | 8177352660 |
| Practice Fax Number | 8177355441 |
| Mailing Telephone | 8177352660 |
| Mailing Fax Number | 8177355441 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E8217 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 135468010 | 05 | |
| TX | BCBS | 8CJ380 | 01 |
| TX | 135468009 | 05 | |
| TX | RAILROAD MEDICARE | P00844635 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591004 | Michael Derald Vaughan | Chiropractor | 8554 Kapp Dr, Box 102, Peosta, IA 52068-9759 | 2006-01-09 |
| 1710449970 | Michael David Vaughan | Counselor | 1011 10th Ave Se, Olympia, WA 98501-1566 | 2019-04-04 |
| 1104182641 | Michael Henry Vaughan | Internal Medicine | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2012-04-10 |
| 1265556252 | Michael Edward Vaughan | Dentist | 2655 Dallas Hwy Sw, Suite 510, Marietta, GA 30064-2597 | 2007-03-17 |
| 1962579078 | Michael R Vaughan | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-11-30 |
| 1497866834 | Michael D Vaughan | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2006-08-31 |
| 1295841955 | Michael Vaughan | Family Medicine | 2340 Clay St, San Francisco, CA 94115-1932 | 2006-08-22 |
| Street Address |
855 MONTGOMERY ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194455 | Patricia Lowrimore | Psychiatry & Neurology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2005-06-20 |
| 1194353417 | Jason L Thompson | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-03-31 |
| 1639701808 | Tyrane Roberts-lagrone | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-02-06 |
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1598250607 | Sima Taj Mozdbar | Optometrist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-06-30 |
| 1588153993 | Kristen Reuter | Social Worker | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-05-02 |
| 1114431624 | Emily J. Clark | Counselor | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-11-20 |
| 1275073215 | Elizabeth Svyatoslavna Balyakina | Student in an Organized Health Care Education/Training Program | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-23 |
| 1588103659 | Frederick Olen Barnum Iv | Family Medicine | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2017-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1083195648 | Ff Corporation Pllc | Internal Medicine | 7100 Oakmont Blvd Ste No201, Fort Worth, TX 76132-3900 | 2018-08-22 |
| 1376918292 | Makd Heart & Vascular LLC | Internal Medicine | 1401 8th Avenue, Fort Worth, TX 76104-3915 | 2015-12-03 |
| 1528436565 | Davinci Medical, LLC | Internal Medicine | 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 | 2015-09-08 |
| 1831485192 | Fahmi Jasmin Farah | Internal Medicine | 7100 Oakmont Blvd Ste 201, Fort Worth, TX 76132-3908 | 2011-06-24 |
| 1659664100 | Pro Health Diagnostics of North Texas Pa | Internal Medicine | 1904 Canterbury Drive, Fort Worth, TX 76107-3514 | 2011-05-17 |
| 1396936357 | Farhan Ali | Internal Medicine | 1017 12th Avenue, Fort Worth, TX 76104-0000 | 2007-08-06 |
| 1619021714 | Benedict Anthony Termini | Internal Medicine | 8520 Meadowbrook Dr, Fort Worth, TX 76120-5204 | 2007-01-23 |
| 1932294469 | Saritha Dodla | Internal Medicine | 4324 Heritage Trace Pkwy, Ste 808, Fort Worth, TX 76244-9127 | 2006-10-03 |
| 1316039795 | Muhammad A Qureshi | Internal Medicine | 3403 N Beach St, Fort Worth, TX 76111-6305 | 2006-09-29 |
| 1134233588 | Mohanakrishnan Sathyamoorthy | Internal Medicine | 1121 5th Ave Ste 100, Fort Worth, TX 76104-4386 | 2006-08-19 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on MICHAEL S VAUGHAN.
| 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.