MICHAEL DEREK VAUGHN M.D. NPI 1427476969

NPI Information

NPI: 1427476969
Provider Name: MICHAEL DEREK VAUGHN, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

PECOS Registration: Yes

Address:
1970 S RIDGE RD
GREEN BAY, WI
ZIP 54304
Phone: (920) 430-4888
Get Directions

Michael Derek Vaughn, M.D. is a hand surgery orthopaedic surgery in Green Bay, WI with 10 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Michael Derek Vaughn, M.D. NPI is 1427476969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1970 S RIDGE RD
GREEN BAY, WI
ZIP 54304-125
Phone: (920) 430-4888

The NPI 1427476969 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 enumeration date for this NPI number is 4/2/2014 and was last updated on 8/3/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0106X	Orthopaedic Surgery	Hand Surgery	73428-20	WISCONSIN	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program			OHIO	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0128762	MEDICAID	OHIO

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

NPI Synchronization or Removal

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