CAREY DIANA VAUGHAN (NPI# 1821352857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821352857 |
| Entity Type | Individual |
| Full Name | CAREY DIANA VAUGHAN |
| Credential | DO |
| Practice Address |
1014 Madison St Jefferson City MO 65101-3458 |
| Practice Telephone | 5736446999 |
| Practice Fax Number | 5736447880 |
| Mailing Telephone | 5736446999 |
| Mailing Fax Number | 5736447880 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2011022512 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073664942 | Carey A. Vaughan | Pharmacist | 1110 Commerce Dr, Ste 110, Greensboro, GA 30642-7444 | 2007-01-16 |
| Street Address |
1014 MADISON ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1386176840 | Jared James | Family Medicine | 1014 Madison St, Jefferson City, MO 65101-3458 | 2017-04-03 |
| 1013279967 | Craig Alan Luetkemeyer | Family Medicine | 1014 Madison St, Jefferson City, MO 65101-3458 | 2012-06-15 |
| 1386906899 | Jamie Brianne Luetkemeyer | Family Medicine | 1014 Madison St, Jefferson City, MO 65101-3458 | 2012-06-11 |
| 1083912265 | Capital Region Medical Center | Obstetrics & Gynecology | 1014 Madison St, Suite B, Jefferson City, MO 65101-3458 | 2011-03-11 |
| 1831352202 | Nicole Josephine Albin | Family Medicine | 1014 Madison St, Jefferson City, MO 65101-3458 | 2008-07-07 |
| 1538117114 | Capital Region Medical Center | Nurse Practitioner | 1014 Madison St, Jefferson City, MO 65101-3458 | 2006-05-05 |
| 1790740942 | Dana Madsen Calcutt | Obstetrics & Gynecology | 1014 Madison St, Ob/gyn Associates, Jefferson City, MO 65101-3458 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649514050 | Capital Region Resident Clinic | General Practice | 220 Madison St., Jefferson City, MO 65102 | 2012-11-26 |
| 1679514293 | Mark Christopher Link | General Practice | 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 | 2006-06-08 |
| 1033182118 | Wanda Gayle Wilson | General Practice | 3559 Amazonas St, Jefferson City, MO 65109 | 2006-02-09 |
| 1174976146 | Nicolas Vassel | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-07-14 |
| 1326498999 | Justin Johnson | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-06-15 |
| 1417307083 | Chad David Law | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-06-15 |
| 1275996696 | John D Mckie | General Practice | 1125 Madison St, Jefferson City, MO 65101-5227 | 2016-04-02 |
| 1043450711 | Ssm Regional Health Services | General Practice | 2505 Mission Dr, Suite 210, Jefferson City, MO 65109-9508 | 2009-02-20 |
| 1992981039 | Rex G Hardman | General Practice | 8200 No More Victims Rd, Jefferson City, MO 65101-4539 | 2008-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on CAREY DIANA 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.