Lori E Vaughan (NPI# 1164546289, PAC ID# 7012002157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164546289 |
| PAC ID by PECOS | 7012002157 |
| Professional Enrollment ID | I20071003000833 |
| Full Name | Lori E Vaughan |
| Organization Legal Name | PORTAGE PHYSICIAN PRACTICES INC |
| Address |
500 Campus Dr Hancock MI 49930-1452 |
| Phone Number | 9064831060 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6103053509 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230108 | UP HEALTH SYSTEM PORTAGE |
| 230054 | MARQUETTE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Campus Dr, Hancock, MI 49930-1452 | 9064831060 | PORTAGE PHYSICIAN PRACTICES INC |
| Organization Legal Name | PORTAGE PHYSICIAN PRACTICES INC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney H Smith | Physician Assistant | Portage Physician Practices Inc | 56720 Calumet Ave, Calumet, MI 49913-1967 |
| Terry E Kinzel | Internal Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Theresa M Holladay | Obstetrics/gynecology | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Timothy T Sears | General Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Jurgen Gernot Runschke | Emergency Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Timothy John Labonte | Family Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Emily Sue Johnson | Emergency Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Abdul M Khokhar | Internal Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Michael D Carter | Orthopedic Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Ronald A Ronquist | Orthopedic Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Street Address |
500 CAMPUS DR |
| City | HANCOCK |
| State | MI |
| Zip | 49930-1452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry E Kinzel | Internal Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Michael Conrad Salmi | Certified Registered Nurse Anesthetist (crna) | Portage Hospital LLC | 500 Campus Dr, Hancock, MI 49930-1452 |
| Theresa M Holladay | Obstetrics/gynecology | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Timothy T Sears | General Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Nelson E Gencheff | Cardiovascular Disease (cardiology) | Portage Hospital LLC | 500 Campus Dr, Hancock, MI 49930-1452 |
| John M Pap | Cardiovascular Disease (cardiology) | Portage Hospital LLC | 500 Campus Dr, Hancock, MI 49930-1452 |
| David J Kass | Family Medicine | Upper Great Lakes Family Health Center | 500 Campus Dr, Hancock, MI 49930-1452 |
| Jurgen Gernot Runschke | Emergency Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Timothy John Labonte | Family Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Emily Sue Johnson | Emergency Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Jean Tikkanen | Clinical Social Worker | 200 Michigan St, Suite 321, Hancock, MI 49930-1448 | |
| Michelle L Lambert | Clinical Social Worker | 200 Michigan St, Suite 704, Hancock, MI 49930-1449 | |
| Abdul M Khokhar | Internal Medicine | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Michael D Carter | Orthopedic Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Ronald A Ronquist | Orthopedic Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Thomas D Legalley | Cardiovascular Disease (cardiology) | Portage Hospital LLC | 500 Campus Dr, Hancock, MI 49930-1452 |
| Darrell Jack Potter | Orthopedic Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| William W Liston | General Surgery | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| David A Pesola | Cardiovascular Disease (cardiology) | Portage Hospital LLC | 500 Campus Dr, Hancock, MI 49930-1452 |
| Tara L Lassila | Physician Assistant | Portage Physician Practices Inc | 500 Campus Dr, Hancock, MI 49930-1452 |
| Find all physicians in zip 49930 | |||
| City | HANCOCK |
| Zip Code | 49930 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HANCOCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lori E 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.