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DR. WALLACE CARROLL VAUGHAN M.D. NPI 1104906510


NPI Information

NPI: 1104906510
Provider Name: DR. WALLACE CARROLL VAUGHAN, M.D.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6980 WINTON BLOUNT BLVD
MONTGOMERY, AL
ZIP 36117
Phone: (334) 277-0484
Get Directions

DR. Wallace Carroll Vaughan, M.D. is an otolaryngology in Montgomery, AL with 42 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Wallace Carroll Vaughan, M.D. NPI is 1104906510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year:1982

The provider's business location address is:

6980 WINTON BLOUNT BLVD
MONTGOMERY, AL
ZIP 36117-556
Phone: (334) 277-0484
Fax: (334) 272-8877

The NPI 1104906510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of ear and nose (HCPCS:92504)
  • Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • Eardrum testing using ear probe (HCPCS:92567)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology13438ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000017143MEDICARE ID-TYPE UNSPECIFIED
217143OTHERBLUE CROSS
3C71308MEDICARE UPIN
4528701330MEDICAIDALABAMA
5040002702OTHERRR MCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.