Wallace C Vaughan Jr. (NPI# 1104906510, PAC ID# 7810063260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1104906510 |
| PAC ID by PECOS | 7810063260 |
| Professional Enrollment ID | I20110112001004 |
| Full Name | Wallace C Vaughan Jr. |
| Organization Legal Name | CENTRAL ALA ENT ASSOCIATES |
| Address |
6980 Winton Blount Blvd Montgomery AL 36117-3556 |
| Phone Number | 3342770484 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3870516180 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010149 | BAPTIST MEDICAL CENTER EAST |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 | 3342770484 | CENTRAL ALA ENT ASSOCIATES |
| Organization Legal Name | CENTRAL ALA ENT ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Morgan | Otolaryngology | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Amy B Strickland | Qualified Audiologist | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Laura J Anderson | Qualified Audiologist | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Street Address |
6980 WINTON BLOUNT BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip | 36117-3556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles E Morgan | Otolaryngology | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Amy B Strickland | Qualified Audiologist | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Laura J Anderson | Qualified Audiologist | Central Ala Ent Associates | 6980 Winton Blount Blvd, Montgomery, AL 36117-3556 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam P Vogt | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Pervaiz Ahmed Malik | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Lemuel D Gorden | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Edward Benak | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Mohammad L Ahmed | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Eric Bixby | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Mobeen Rehman | Cardiovascular Disease (cardiology) | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Wasiq Faraz Rawasia | Interventional Cardiology | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Anna O Greene | Nurse Practitioner | River Region Cardiology Associates, PC | 185 Mitylene Park Lane, Montgomery, AL 36117 |
| Timothy Clark Barrowman | Pathology | Alabama Pathology Associates | 225 B Winton Blount Loop, Montgomery, AL 36117 |
| Find all physicians in zip 36117 | |||
| City | MONTGOMERY |
| Zip Code | 36117 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MONTGOMERY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Wallace C Vaughan Jr..
| 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.