DOUGLAS M. VAUGHN, D.O., P.C. (NPI# 1558559468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558559468 |
| Entity Type | Organization |
| Organization Name | DOUGLAS M. VAUGHN, D.O., P.C. |
| Practice Address |
4629 S Harvard Ave Suite A Tulsa OK 74135-2948 |
| Practice Telephone | 9187495714 |
| Practice Fax Number | 9187495826 |
| Mailing Telephone | 9187495714 |
| Mailing Fax Number | 9187495826 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DR. DOUGLAS M VAUGHN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 9187495714 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1943 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100095460A | 05 |
| Street Address |
4629 S HARVARD AVE SUITE A |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689026825 | Kassidy Lair | Occupational Therapist | 4629 S Harvard Ave, Tulsa, OK 74135-2948 | 2016-07-12 |
| 1780038281 | Anne-marie Frizzell | Speech-Language Pathologist | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2016-04-20 |
| 1790122158 | Alison Koch | Speech-Language Pathologist | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2013-05-24 |
| 1356661219 | Faith Slp, Inc. | Speech-Language Pathologist | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2010-06-02 |
| 1831357276 | Tracy Clyne Beswick | Dermatology | 4629 S Harvard Ave, Tulsa, OK 74135-2948 | 2008-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1912211475 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 245, Tulsa, OK 74133-5730 | 2010-07-27 |
| 1295059400 | Care Clinic | Clinic/Center | 3528 N Lansing Ave, Tulsa, OK 74106-1939 | 2010-03-16 |
| 1881753358 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-08 |
| 1114092012 | Osu Center for Health Sciences | Clinic/Center | 9001 S 101 E Ave, Suite 300, Tulsa, OK 74133 | 2006-11-24 |
| 1225102866 | Osu Center for Health Sciences | Clinic/Center | 4500 S Garnett Rd Ste 919, Tulsa, OK 74146-5229 | 2006-11-17 |
| 1982777637 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 500, Tulsa, OK 74127-9060 | 2006-11-17 |
| 1467526046 | Osu Center for Health Sciences | Clinic/Center | 4444 S Harvard Ave Ste 100, Tulsa, OK 74135-2611 | 2006-11-17 |
| 1649344367 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 200, Tulsa, OK 74133-5730 | 2006-11-17 |
| Find all providers in TULSA | ||||
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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.