VAUGHAN PHYSICIAN PRACTICES LLC (NPI# 1346679248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346679248 |
| Entity Type | Organization |
| Organization Name | VAUGHAN PHYSICIAN PRACTICES LLC |
| Other Organization Name | VAUGHAN MEDICAL SPECIALTY ASSOCIATES |
| Practice Address |
1023 Medical Center Pkwy Suite 310 Selma AL 36701-6780 |
| Mailing Address |
Po Box 1206 Selma AL 36702-1206 |
| Practice Telephone | 3344186656 |
| Practice Fax Number | 3344186657 |
| Mailing Telephone | 3344186656 |
| Mailing Fax Number | 3344186657 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vaughan Medical Specialty Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063908325 | Vaughan Physician Practices LLC | Obstetrics & Gynecology | 1023 Medical Center Pkwy Ste 401, Selma, AL 36701-6712 | 2018-07-10 |
| 1407277460 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701-6780 | 2013-12-18 |
| 1881980589 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 309, Selma, AL 36701-6780 | 2011-06-22 |
| Street Address |
1023 MEDICAL CENTER PKWY SUITE 310 |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861402 | Melissa Blair Behringer | Family Medicine | 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701-6780 | 2005-06-16 |
| 1790203461 | Ronald Coury Tisdale | Counselor | 1023 Medical Center Pkwy, Selma, AL 36701-6750 | 2017-09-01 |
| 1407306624 | Courtney Carter | Registered Nurse | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6750 | 2016-10-12 |
| 1124400353 | Jada Rhymes | Family Medicine | 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701-6780 | 2015-06-24 |
| 1407277460 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 310, Selma, AL 36701-6780 | 2013-12-18 |
| 1770928103 | Vaughan Physician Practices, LLC | Surgery | 1023 Medical Center Pkwy, Suite 311, Selma, AL 36701-6780 | 2013-04-29 |
| 1407197445 | Tlm Obstetrics, Gynecology and Womens Healthcare of West Central Alaba | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-03-14 |
| 1598005910 | Tlm Headquaters LLC | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-02-21 |
| 1629318043 | Adolescent and Adult Women's Healthcare of West Central Alabama | Obstetrics & Gynecology | 1023 Medical Center Pkwy, Suite 401, Selma, AL 36701-6780 | 2013-02-21 |
| 1881980589 | Vaughan Physician Practices LLC | Surgery | 1023 Medical Center Pkwy, Suite 309, Selma, AL 36701-6780 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561027 | Selma Heart Institute,pc | Internal Medicine | 913 Medical Center Pkwy, Selma, AL 36701-6746 | 2006-12-06 |
| 1568489631 | Rangarao V Gummadapu | Internal Medicine | 223 1/2 Dallas Ave, Selma, AL 36701-5744 | 2006-07-16 |
| 1508836727 | Bikram J Soni | Internal Medicine | 2001 High St, Selma, CA 93662-3512 | 2006-01-23 |
| 1356340764 | Jaishree Rajagopalan | Internal Medicine | 2511 Logan St, Selma, CA 93662-3012 | 2005-07-18 |
| 1275963415 | Central California Cardiovascular | Internal Medicine | 2001 High St, Selma, CA 93662-3512 | 2013-11-26 |
| 1649504051 | Shailesh Shetty, M.d., Inc. | Internal Medicine | 2001 High St, Selma, CA 93662-3512 | 2009-10-01 |
| 1750343620 | Shailesh Shetty | Internal Medicine | 2001 High St, Selma, CA 93662-3512 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674098 | Jamie Torres | Internal Medicine | 1118 Ross Clark Cir Ste 403, Dothan, AL 36301-3038 | 2019-08-15 |
| 1770040255 | Druid City Vascular, P.C. | Internal Medicine | 701 University Blvd E Ste 608, Tuscaloosa, AL 35401-7411 | 2019-02-21 |
| 1962933796 | Robert Derenbecker | Internal Medicine | 1808 7th Avenue South Bdb 201, Birmingham, AL 35294-0010 | 2017-03-23 |
| 1770944340 | Jackson Hospital and Clinic, Inc | Internal Medicine | 74238 Tallassee Hwy, Wetumpka, AL 36092-5504 | 2016-03-10 |
| 1750742318 | Jackson Hospital and Clinic Inc | Internal Medicine | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 2016-03-10 |
| 1053791764 | Multi-specialty Care-cardiac Care In South, LLC | Internal Medicine | 4490 Al Highway 22, Valley Grande, AL 36701-0501 | 2015-06-08 |
| 1922497312 | Michael Mckinney Cardiology PC | Internal Medicine | 1110 Lakeview Cres, Birmingham, AL 35205-1119 | 2015-01-22 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1700136728 | Farnoosh Rahimi | Internal Medicine | 2451 Fillingim St Bldg C, Mobile, AL 36617 | 2012-09-17 |
| 1720333867 | Rayan Saab | Internal Medicine | 801 Princeton Ave Sw Ste 707, Birmingham, AL 35211-1395 | 2012-07-15 |
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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.