TRACI VAUGHN, M.D., P.A. (NPI# 1457593626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457593626 |
| Entity Type | Organization |
| Organization Name | TRACI VAUGHN, M.D., P.A. |
| Practice Address |
2955 Harrison St Suite 204 Beaumont TX 77702-1154 |
| Mailing Address |
2955 Harrison Suite 204 Beaumont TX 77702-1154 |
| Practice Telephone | 4099231610 |
| Practice Fax Number | 4099231611 |
| Mailing Telephone | 4099231610 |
| Mailing Fax Number | 4099231611 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | TRACI L VAUGHN (DIRECTOR) |
| Authorized Official Telephone | 4099231610 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 023914 | LA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | M3777 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2955 HARRISON ST SUITE 204 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233501 | Physicians Cardiovascular Diagnostic Center, L.l.p. | Clinic/Center | 2955 Harrison St, Ste 300, Beaumont, TX 77702-1157 | 2005-05-31 |
| 1861883696 | Marie Auchenbach | Nurse Practitioner | 2955 Harrison St, Suite # 204, Beaumont, TX 77702-1154 | 2015-02-16 |
| 1760823579 | Rhonda Kay Reed | Nurse Practitioner | 2955 Harrison St, #204, Beaumont, TX 77702-1154 | 2013-07-09 |
| 1669760989 | Karen Theriot | Nurse Practitioner | 2955 Harrison St, Ste 307, Beaumont, TX 77702-1154 | 2011-07-20 |
| 1215233374 | Cardiac Cath Lab of Beaumont, Lp | Clinic/Center | 2955 Harrison St, Suite 302, Beaumont, TX 77702-1154 | 2011-02-07 |
| 1497992127 | Grigoriy Rodonaia Md Pa | Clinic/Center | 2955 Harrison St, Ste 200, Beaumont, TX 77702-1154 | 2009-01-16 |
| 1073772224 | Ajith Kuriakose | Internal Medicine | 2955 Harrison St, Suite 100, Beaumont, TX 77702-1155 | 2008-06-03 |
| 1023210317 | Grigoriy Tsotneevich Rodonaia | Family Medicine | 2955 Harrison St, Ste. 200, Beaumont, TX 77702-1154 | 2007-05-31 |
| 1386858405 | Heartfield E Linn Md Pa | Otolaryngology | 2955 Harrison St, Suite 320, Beaumont, TX 77702-1154 | 2007-05-09 |
| 1801900519 | Cardiovascular Imaging Inc | Clinic/Center | 2955 Harrison St, Suite 105, Beaumont, TX 77702-1154 | 2006-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
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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 |
|---|---|---|---|---|
| 1609135466 | Andrew Victores | Otolaryngology | 740 Hospital Dr Ste 300, Beaumont, TX 77701-4666 | 2012-05-14 |
| 1255661336 | Christian Andrews Corbitt | Otolaryngology | 740 Hospital Dr Ste 300, Beaumont, TX 77701-4666 | 2010-01-12 |
| 1386858405 | Heartfield E Linn Md Pa | Otolaryngology | 2955 Harrison St, Suite 320, Beaumont, TX 77702-1154 | 2007-05-09 |
| 1538103189 | Jeremy Christopher Roebuck | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-06-15 |
| 1902871874 | William Ellis O'mara Jr. | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-22 |
| 1003881558 | Ray Fontenot | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-20 |
| 1962477406 | Southeast Texas Ear, Nose & Throat, LLP | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4666 | 2006-02-20 |
| 1982679452 | Carl Carey Jordan | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-20 |
| 1275508764 | Harold Stephenson Parks Jr. | Otolaryngology | 740 Hospital Dr, Suite 300, Beaumont, TX 77701-4664 | 2006-02-20 |
| 1184699647 | Edward Linn Heartfield | Otolaryngology | 2955 Harrison St, Suite 307, Beaumont, TX 77702-1154 | 2006-02-20 |
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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.