Cory A Vaughn (NPI# 1821417833, PAC ID# 5890011399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1821417833 |
| PAC ID by PECOS | 5890011399 |
| Professional Enrollment ID | I20190705000943 |
| Full Name | Cory A Vaughn |
| Organization Legal Name | MANNING,JOHNSON AND SPENCER, PA |
| Address |
6823 Isaacs Orchard Rd Springdale AR 72762-6096 |
| Phone Number | 4797502080 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3870594641 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 | 4797502080 | MANNING,JOHNSON AND SPENCER, PA |
| Organization Legal Name | MANNING,JOHNSON AND SPENCER, PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Lollar | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Lance A Manning | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Mary H O Brien | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Jared Spencer | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Patricia Crews | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Kristina Davis | Physician Assistant | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Felicia L Johnson | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Taryn Alyssa Pegram | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Street Address |
6823 ISAACS ORCHARD RD |
| City | SPRINGDALE |
| State | AR |
| Zip | 72762-6096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Lollar | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Lance A Manning | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Mary H O Brien | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Jared Spencer | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Patricia Crews | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Kristina Davis | Physician Assistant | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Felicia L Johnson | Otolaryngology | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Taryn Alyssa Pegram | Qualified Audiologist | Manning,johnson and Spencer, Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Natasha Farnam | Physician Assistant | Manning Johnson and Spencer Pa | 6823 Isaacs Orchard Rd, Springdale, AR 72762-6096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Julie Rogerson | Physical Therapy | 4001 Wagon Wheel Rd, Apexnetwork Physical Therapy, Springdale, AR 72762-0137 | |
| David B Williamson | Physical Therapy | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 | |
| Kyle Andrew Ford | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Brandon P Jones | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Meredith R Grubbs | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Valerie A Miller | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| John H Kendrick | General Surgery | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0899 | |
| Edward R Virgil | Chiropractic | 7253 W Sunset Ave, Suite I, Springdale, AR 72762-0991 | |
| Rick Weum | Chiropractic | 2109 W Huntsville Ave, Springdale, AR 72762-2833 | |
| Matthew R. Patoka | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Find all physicians in zip 72762 | |||
| City | SPRINGDALE |
| Zip Code | 72762 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SPRINGDALE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Cory A Vaughn.
| 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.