Tom M Mckibbin Vaughan (NPI# 1497787584, PAC ID# 1658345707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497787584 |
| PAC ID by PECOS | 1658345707 |
| Professional Enrollment ID | I20040824000688 |
| Full Name | Tom M Mckibbin Vaughan |
| Organization Legal Name | COLUMBIA MEMORIAL HOSPITAL |
| Address |
283 Mountain View Rd Copake NY 12516-1201 |
| Phone Number | 5183293900 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092709410 |
| Number of Group Practice Members | 201 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330094 | COLUMBIA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 283 Mountain View Rd, Copake, NY 12516-1201 | 5183293900 | COLUMBIA MEMORIAL HOSPITAL |
| 71 Prospect Ave, Hudson, NY 12534-2907 | COLUMBIA MEMORIAL HOSPITAL |
| Organization Legal Name | COLUMBIA MEMORIAL HOSPITAL |
| Physicians | 184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth W Yuan | Family Medicine | Columbia Memorial Hospital | 9 Law St, West Coxsackie, NY 12192-1300 |
| Joshua Tripp Rosenfield | Internal Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Carlton T Phelps | Diagnostic Radiology | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Amy J Surman | Physician Assistant | Columbia Memorial Hospital | 31 Dardess Dr, Chatham, NY 12037-1438 |
| Susan L Mekosh | Physician Assistant | Columbia Memorial Hospital | Po Box, Suite 785, Valatie, NY 12184-0785 |
| Cynthia S Friedman | Certified Nurse Midwife (cnm) | Columbia Memorial Hospital | 159 Jefferson Hts, Catskill, NY 12414-1237 |
| Peter A Franklin | Internal Medicine | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Hans Boehm | Nurse Practitioner | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Kathleen B Marici | Family Medicine | Columbia Memorial Hospital | 159 Jefferson Hts, Suite C201, Catskill, NY 12414-1204 |
| Hans C Geisse | Addiction Medicine | Columbia Memorial Hospital | 71 Prospect Ave, Hudson, NY 12534-2907 |
| Street Address |
283 MOUNTAIN VIEW RD |
| City | COPAKE |
| State | NY |
| Zip | 12516-1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara K Manierre | Physician Assistant | Columbia Memorial Hospital | 283 Mountain View Rd, Copake, NY 12516-1201 |
| City | COPAKE |
| Zip Code | 12516 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COPAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tom M Mckibbin Vaughan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.