CECIL CYRUS VAUGHN III (NPI# 1912904509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912904509 |
| Entity Type | Individual |
| Full Name | CECIL CYRUS VAUGHN III |
| Credential | M.D. |
| Practice Address |
6677 W Thunderbird Rd G-116 Glendale AZ 85306-3709 |
| Practice Telephone | 6234351954 |
| Practice Fax Number | 6234351955 |
| Mailing Telephone | 6234351954 |
| Mailing Fax Number | 6234351955 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
22494 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073832515 | Cecil Cyrus Vaughn II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5124 N 31st Pl, #544, Phoenix, AZ 85016-4527 | 2010-05-24 |
| Street Address |
6677 W THUNDERBIRD RD G-116 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639602493 | Kelly Milton, Pllc | Psychiatry & Neurology | 6677 W Thunderbird Rd, Building D, Glendale, AZ 85306 | 2017-04-09 |
| 1407398787 | Southwest Center for Oral Surgery, Pllc | Dentist | 6677 W Thunderbird Rd, Suite H120, Glendale, AZ 85306-3709 | 2016-11-17 |
| 1376919035 | Neurology Center of Arizona Pllc | Specialist | 6677 W Thunderbird Rd, Bldg D148, Glendale, AZ 85306-3709 | 2015-08-18 |
| 1932537354 | Jon Martinson | Physician Assistant | 6677 W Thunderbird Rd, Suite I - 164, Glendale, AZ 85306-3709 | 2013-10-22 |
| 1972938165 | Az Home Md LLC | Podiatrist | 6677 W Thunderbird Rd, J 171, Glendale, AZ 85306-3709 | 2013-09-06 |
| 1497197677 | John C. Lincoln, LLC | Family Medicine | 6677 W Thunderbird Rd, Ste. A124, Glendale, AZ 85306-3709 | 2013-07-29 |
| 1881039337 | Kimberly Nelson | Physician Assistant | 6677 W Thunderbird Rd, Suite I - 164, Glendale, AZ 85306-3709 | 2013-05-09 |
| 1760755730 | Southwest Center for Oral, Facial and Dental Implant Surgery | Dentist | 6677 W Thunderbird Rd, Suite H120, Glendale, AZ 85306-3709 | 2012-02-21 |
| 1710279658 | Phoenix Medical Group, PC | Clinic/Center | 6677 W Thunderbird Rd, Bldg E, Glendale, AZ 85306-3722 | 2011-05-11 |
| 1063740454 | Natasha Boord | Social Worker | 6677 W Thunderbird Rd, Suite I-164, Glendale, AZ 85306-3709 | 2009-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531268 | Honorhealth Ambulatory | Surgery | 6220 W Bell Rd Ste 120, Glendale, AZ 85308-3896 | 2020-06-03 |
| 1063689909 | Layne C. Sandridge | Surgery | 18700 N 64th Dr Ste 105a, Glendale, AZ 85308-7110 | 2008-05-09 |
| 1447291893 | Sammy A Zakhary | Surgery | 6591 W Thunderbird Rd Ste D1, Glendale, AZ 85306-3720 | 2006-06-09 |
| 1568462943 | David Michael Smith | Surgery | 6320 W Union Hills Dr Ste 200, Glendale, AZ 85308-7239 | 2005-07-27 |
| 1497253546 | Layne Sandridge Md, Plc | Surgery | 18700 N 64th Dr Ste 105a, Glendale, AZ 85308-7110 | 2018-01-23 |
| 1164773560 | Kulbhushan K. Sharma Md, PC | Surgery | 5620 W Thunderbird Rd, Suite D-2, Glendale, AZ 85306-4636 | 2012-09-25 |
| 1437458239 | Brian Hoang | Surgery | 5757 West Thunderbird Road, Ste. E-456, Glendale, AZ 85306 | 2011-03-18 |
| 1780820217 | Hurwitz-roberts A Medical Corporation | Surgery | 1019 S Central Ave, Glendale, CA 91204-2210 | 2009-01-06 |
| 1538289152 | Southwest Vascular Institute Ltd | Surgery | 6677 W Thunderbird Rd, G 116, Glendale, AZ 85306-3709 | 2007-03-29 |
| 1760525752 | Foothill Surgical Specialists Medical Group | Surgery | 1560 E. Chevy Chase Dr., Suite 430, Glendale, CA 91206-4197 | 2007-02-15 |
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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.