DR. ALBERT RUSSELL VAUGHN (NPI# 1689084865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689084865 |
| Entity Type | Individual |
| Full Name | DR. ALBERT RUSSELL VAUGHN |
| Credential | MD |
| Practice Address |
120 Hospital Dr Ste 130 Jefferson City TN 37760-5279 |
| Mailing Address |
1225 E Weisgarber Rd Ste 200 Knoxville TN 37909-2675 |
| Practice Telephone | 8644754742 |
| Practice Fax Number | 8652620100 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD0000057030 | TN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD0000057030 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 Madison Ave, Suite 1031, Memphis, TN 381033403 | 9014485814 |
| Street Address |
120 HOSPITAL DR STE 130 |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1831690254 | Rachel Cameron | Nurse Practitioner | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2018-02-21 |
| 1376948927 | Sarah E. Chapman | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760-5279 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| 1326001207 | Misty Depriest Hudgins | Specialist/Technologist | 2130 S Branner Avenue, Cn Box 72030 -, Jefferson City, TN 37760 | 2006-04-11 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417333253 | Olga Brea Pena | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-08-04 |
| 1467835199 | Bethany Crawford | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-06-30 |
| 1760774301 | Jessica Deanne Albright | Pediatrics | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-05-13 |
| 1750510640 | Smruthi Sanath Kumar | Pediatrics | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2009-07-13 |
| 1962613430 | Richard Jay Iken | Pediatrics | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-05-25 |
| 1326267659 | Pauline E. Burrell | Pediatrics | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-04-25 |
| 1902820624 | Laura Kraus | Pediatrics | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2006-07-26 |
| 1083649115 | George L Mcelroy | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-11 |
| 1366477291 | Nancy Howe | Pediatrics | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2006-07-11 |
| 1093746653 | Brian Conley | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-05 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.