GREGORY D. VAUGHAN M.D. NPI 1750433033

NPI Information

NPI: 1750433033
Provider Name: GREGORY D. VAUGHAN, M.D.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
301 S 320TH ST
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 874-7000
Get Directions

Gregory D. Vaughan, M.D. is an adult medicine family medicine in Federal Way, WA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Gregory D. Vaughan, M.D. NPI is 1750433033. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 S 320TH ST
FEDERAL WAY, WA
ZIP 98003-200
Phone: (253) 874-7000
Fax: (253) 874-7007

The NPI 1750433033 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	MD00018285	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G8869004	MEDICARE PIN	WASHINGTON
2	G8869005	MEDICARE PIN	WASHINGTON
3	G000135423	MEDICARE PIN	WASHINGTON
4	E99892	MEDICARE UPIN	WASHINGTON
5	1705805	MEDICAID	WASHINGTON
6	G8869006	MEDICARE PIN	WASHINGTON
7	G217131402	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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