ANDREW H VAUGHAN (NPI# 1164684643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164684643 |
Entity Type | Individual |
Full Name | ANDREW H VAUGHAN |
Credential | MD |
Practice Address |
1490 E Foremaster Dr Suite 350 St George UT 84790-4488 |
Practice Telephone | 4356283334 |
Practice Fax Number | 4356283375 |
Mailing Telephone | 4356283334 |
Mailing Fax Number | 4356283375 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2009-06-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 7343869-1205 | UT | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116016535 | VA | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932634607 | Andrew Joseph Vaughan | Surgery | 28050 Grand River Ave, Suite 208 North, Farmington Hills, MI 48336-5919 | 2017-05-01 |
1750762167 | Andrew Douglas Vaughan | Family Medicine | 3209 Colonial Drive, Family Medicine Center, Columbia, SC 29203 | 2015-06-11 |
1386074250 | Andrew William Vaughan | Physician Assistant | 18167 Us Highway 19 N, Suite 650, Clearwater, FL 33764-3528 | 2013-11-13 |
1003962267 | Andrew Edward Vaughan | Psychologist | 3 Greenhills Rd, Huntington Station, NY 11746-3905 | 2007-01-28 |
Street Address |
1490 E FOREMASTER DR SUITE 350 |
City | ST GEORGE |
State | UT |
Zip Code | 84790-4488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184623092 | Jeffrey Lee Stewart | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2005-07-21 |
1396256293 | Craniom | Specialist/Technologist, Other | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2017-10-18 |
1790221687 | Wendy Utley | Nurse Practitioner | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2017-01-16 |
1033662705 | Brittany Garcia | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2016-07-29 |
1609252691 | Coral Desert Foot & Ankle PC | Durable Medical Equipment & Medical Supplies | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2015-08-03 |
1629480769 | Jacob Burrows | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2014-05-23 |
1740605963 | Ivo Kekoa Hanza | Nurse Practitioner | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2014-02-25 |
1578985438 | Emere Utah LLC | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 260, St George, UT 84790-4488 | 2014-01-13 |
1760752943 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2012-01-05 |
1568754364 | Nathan W Aston | Physician Assistant | 1490 E Foremaster Dr, #150, St George, UT 84790-4488 | 2011-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811177652 | Jordan Lee Wallin | Otolaryngology | 446 S Mall Dr Ste B1, St George, UT 84790-4945 | 2007-11-09 |
1679733869 | Southern Utah Ear Nose & Throat LLC | Otolaryngology | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2008-06-11 |
1487852075 | Jerry Marsden Md A Professional Corporation | Otolaryngology | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2007-07-05 |
1649219817 | Jerry Marsden | Otolaryngology | 1490 E Foremaster Dr, Ste 350, St George, UT 84790-4488 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073177796 | Christopher A. Hamilton | Otolaryngology | 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2019-04-29 |
1972007433 | Eric Edward Babajanian | Otolaryngology | 50 N Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2018-03-20 |
1619362779 | Joshua Brian Bradshaw | Otolaryngology | 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | 2015-04-05 |
1548695729 | Derrick Cripps Gale | Otolaryngology | 4063 W 12600 S, Riverton, UT 84096-7302 | 2013-09-06 |
1063853885 | Craig N Stevens, Md | Otolaryngology | 2576 E Valley View Ave, Holladay, UT 84117-5429 | 2013-07-09 |
1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
1447551544 | James L. Parkin | Otolaryngology | 2390 Bernadine Dr, Salt Lake City, UT 84109-1206 | 2010-11-05 |
1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
1710210323 | Kendrick Oliver Morrison | Otolaryngology | 1599 Quartz Dr, South Jordan, UT 84095-8382 | 2009-09-14 |
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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.