DR. KYLE VAUGHN (NPI# 1467618850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467618850 |
| Entity Type | Individual |
| Full Name | DR. KYLE VAUGHN |
| Credential | D.P.M. |
| Practice Address |
4611 E Shea Blvd Suite 160 Phoenix AZ 85028-4254 |
| Practice Telephone | 4807059920 |
| Practice Fax Number | 8888720466 |
| Mailing Telephone | 4807059920 |
| Mailing Fax Number | 8888720466 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0726 | AZ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739141 | Kyle Vaughn | Physician Assistant | 227 Memorial Dr, Jacksonville, NC 28546-6333 | 2017-02-20 |
| 1073069688 | Kyle Vaughn | Pharmacist | 1000 Greg Kruschek Avenue, Nome, AK 99762 | 2016-09-01 |
| 1194279224 | Kyle Vaughn | Physical Therapist | 1546 W Warm Springs Rd Ste 110, Henderson, NV 89014-4326 | 2016-08-05 |
| Street Address |
4611 E SHEA BLVD SUITE 160 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457303471 | Ali M Mosharrafa | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2006-05-17 |
| 1639435886 | Mosharrafa Plastic Surgery Plc | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2012-04-02 |
| 1295015212 | Mosc, LLC | Clinic/Center | 4611 E Shea Blvd, Suite 100, Phoenix, AZ 85028-4254 | 2011-08-22 |
| 1609163542 | Jason A Kayce | Podiatrist | 4611 E Shea Blvd, Suite 160, Phoenix, AZ 85028-4254 | 2011-06-29 |
| 1861782856 | Customceutical Compounding, LLC | Pharmacy | 4611 E Shea Blvd, Bldg 3, Ste 180, Phoenix, AZ 85028 | 2011-04-12 |
| 1497058143 | Susan K Oles Dmd Pllc | Dentist | 4611 E Shea Blvd, Suite 110, Phoenix, AZ 85028-4254 | 2010-12-17 |
| 1518273143 | Timothy C Schmidt | Dentist | 4611 E Shea Blvd, Ste 250 Bldg 1, Phoenix, AZ 85028-4254 | 2010-08-20 |
| 1518161264 | Seivert Orthopedics and Sports Medicine,pc | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2007-06-14 |
| 1730232448 | Lauren Daniel Stegman | Radiology | 4611 E Shea Blvd, Ste 120, Phoenix, AZ 85028-4254 | 2007-01-18 |
| 1437175783 | Michael Anthony Seivert | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1861808917 | Amanda Sarah Lernor | Podiatrist | 16841 N 31st Ave Ste 134, Phoenix, AZ 85053-3057 | 2014-07-09 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1790195964 | Melissa Jo Chrisman | Podiatrist | 13838 S 46th Pl Ste 210, Phoenix, AZ 85044-7803 | 2014-04-28 |
| 1669812855 | Zachary Anthony Flynn | Podiatrist | 11209 N Tatum Blvd Ste 100, Phoenix, AZ 85028-3000 | 2013-07-02 |
| 1316290893 | Katherine Edithe Kennedy | Podiatrist | 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021-8862 | 2012-10-20 |
| 1790044261 | Shylaja N Arya | Podiatrist | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2012-05-03 |
| 1811135817 | Bryan James Roth | Podiatrist | 2601 E Roosevelt Ave, Phoenix, AZ 85008-4973 | 2009-01-29 |
| 1548440936 | Arizona Foot & Ankle Care, P.C. | Podiatrist | 3201 W Peoria Ave Ste A200, Phoenix, AZ 85029-4699 | 2007-11-14 |
| 1689793895 | Kelvin S Crezee Dpm PC | Podiatrist | 15810 S 45th St Ste 190, Phoenix, AZ 85048-7697 | 2007-03-28 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. KYLE VAUGHN.
| 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.