TOM MCKIBBIN-VAUGHAN (NPI# 1497787584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497787584 |
| Entity Type | Individual |
| Full Name | TOM MCKIBBIN-VAUGHAN |
| Credential | PA |
| Practice Address |
2400 Us Route 9 Hudson NY 12534-4725 |
| Mailing Address |
600 Westage Business Ctr Dr Fishkill NY 12524-2281 |
| Practice Telephone | 5185374900 |
| Practice Fax Number | 5185375977 |
| Mailing Telephone | 8452315600 |
| Mailing Fax Number | 8452315489 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
009679 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2400 US ROUTE 9 |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215969399 | James Elbert Blakney | Physician Assistant | 2400 Us Route 9, Hudson, NY 12534-4725 | 2006-07-07 |
| 1598785933 | Hudson Valley Family Practice Associates, P.C. | Family Medicine | 2400 Us Route 9, Hudson, NY 12534-4725 | 2006-07-20 |
| 1902838071 | Maura Sullivan | Family Medicine | 2400 Us Route 9, Hudson, NY 12534-4725 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376870931 | Yesenia Boresoff | Physician Assistant | 7529 Medical Dr, Hudson, FL 34667-6502 | 2009-11-03 |
| 1508034109 | Cassandra Lara Sobkiw-kurtz | Physician Assistant | 30 Prospect Ave Fl 1, Emergency Treatment Associates, Hudson, NY 12534-2908 | 2008-02-15 |
| 1265592380 | David Robert Gross | Physician Assistant | 3001 N Juniper St, Hudson, CO 80642-9400 | 2006-12-11 |
| 1215969399 | James Elbert Blakney | Physician Assistant | 2400 Us Route 9, Hudson, NY 12534-4725 | 2006-07-07 |
| 1023436367 | Maureen Grace Habif | Physician Assistant | 300 Derry Rd, Hudson, NH 03051-3023 | 2014-04-03 |
| 1801217559 | Gregory Barlow | Physician Assistant | 403 Stageline Rd, Hudson, WI 54016-7848 | 2013-12-25 |
| 1467888776 | Shannon Barnes | Physician Assistant | 5700 Darrow Rd, Hudson, OH 44236-5026 | 2013-09-18 |
| 1720324973 | Shervan Mohan | Physician Assistant | 5700 Darrow Rd Ste 106, Hudson, OH 44236-5026 | 2012-12-17 |
| 1891940698 | Feroza Thompson | Physician Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2008-11-20 |
| 1083654297 | Theresa A Meltz | Physician Assistant | 71 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-06-07 |
| Find all providers in HUDSON | ||||
Please comment or provide details below to improve the information on TOM MCKIBBIN-VAUGHAN.
| 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.