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GLEN E VAUGHN MD NPI 1699767293


NPI Information

NPI: 1699767293
Provider Name: GLEN E VAUGHN, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2801 BAY PARK DR
OREGON, OH
ZIP 43616
Phone: (419) 690-7900
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Glen E Vaughn, MD is an emergency medicine in Oregon, OH. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Glen E Vaughn, MD NPI is 1699767293. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 BAY PARK DR
OREGON, OH
ZIP 43616-920
Phone: (419) 690-7900

The NPI 1699767293 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 8/19/2005 and was last updated on 10/14/2009.


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
1207P00000XEmergency Medicine35053859OHIOYes

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
14488340MEDICAIDMICHIGAN
20634497MEDICAIDOHIO
3MI1174010MEDICARE PINMICHIGAN
4VA4224821MEDICARE PINOHIO
5P00472621MEDICARE PINOHIO
6E78474MEDICARE UPIN
7VA7303261MEDICARE ID-TYPE UNSPECIFIEDOHIO
8000000550256OTHEROHIOANTHEM
9P00733200MEDICARE PINOHIO
10000000246976OTHEROHIOANTHEM
11930121177MEDICARE ID-TYPE UNSPECIFIEDRAILROAD

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: 11/14/2023

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.