Rodney Vaught (NPI# 1245209709, PAC ID# 5294729679) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245209709 |
| PAC ID by PECOS | 5294729679 |
| Professional Enrollment ID | I20190403000346 |
| Full Name | Rodney Vaught |
| Organization Legal Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Address |
42 Dolly Varden Lane Search Aics Gustavus Community Clinic Gustavus AK 99826-0399 |
| Phone Number | 9076973008 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1456265362 |
| Number of Group Practice Members | 175 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 021314 | MT EDGECUMBE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 42 Dolly Varden Lane, Search Aics Gustavus Community Clinic, Gustavus, AK 99826-0399 | 9076973008 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| 222 Tongass Dr, Sitka, AK 99835-9416 | 9079662411 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| 700 Katlian St E, Searhc Sitka Med Ctr, Sitka, AK 99835-7359 | 9079668761 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Organization Legal Name | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Bolmer | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 814 Halibut Point Rd, Sitka, AK 99835-7101 |
| Donna M Paul | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 232 Wood St, Search Aics Medical Clinic, Wrangell, AK 99929-2133 |
| Todd Galuszka | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 105 Totem Way, Kake, AK 99830 |
| Karen M Smith | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 101 Salmon Way, Pelican, AK 99832 |
| Courtney Ah Vickery | Family Medicine | Southeast Alaska Regional Health Consortium | 37 Chilkat Ave, Klukwan Health Center, Klukwan, AK 99827-0690 |
| Diana L Lachman | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 725 Relay Rd, Angoon, AK 99820 |
| David K Zetterman | Family Medicine | Southeast Alaska Regional Health Consortium | 7300 A Klawock Hoolis Hwy, Klawock, AK 99925 |
| Grace Hwang | Family Medicine | Southeast Alaska Regional Health Consortium | 209 Moller Ave, Sitka, AK 99835-7142 |
| Shannon Farr | Optometry | Southeast Alaska Regional Health Consortium | 1200 Salmon Creek Ln, Juneau, AK 99801-7861 |
| Deborah A Reynolds | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 8 Th St Extension, Hydaburg, AK 99922 |
| Street Address |
42 DOLLY VARDEN LANE SEARCH AICS GUSTAVUS COMMUNITY CLINIC |
| City | GUSTAVUS |
| State | AK |
| Zip | 99826-0399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Marie Lagrange | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 42 Dolly Varden Lane, Search Aics Gustavus Community Clinic, Gustavus, AK 99826-0399 |
| Cindy Annette Rosenberger | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 42 Dolly Varden Lane, Gustavus, AK 99826-0399 |
| Kerry Dorius | Nurse Practitioner | Southeast Alaska Regional Health Consortium | 42 Dolly Varden Lane, Search Aics Gustavus Community Clinic, Gustavus, AK 99826-0399 |
| City | GUSTAVUS |
| Zip Code | 99826 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GUSTAVUS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rodney Vaught.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.