Dr. Albert Russell Vaughn
MD | Pediatrics | Male
Dr. Albert Russell Vaughn, MD is a Jefferson City, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Albert Russell Vaughn is
120 Hospital Dr Ste 130, Jefferson City, Tennessee - 37760. He can be contacted on phone at
864-475-4742 and fax number 865-262-0100.
Dr. Albert Russell Vaughn is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Albert Russell Vaughn is
1689084865 which was assigned by NPPES on 28 Apr, 2014 and it was last updated on 26 Jun, 2018.
Dr. Albert Russell Vaughn license number is
MD0000057030 for Pediatrics (208000000X) in Tennessee.
Dr. Albert Russell Vaughn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Albert Russell Vaughn basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Albert Russell Vaughn |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Albert Russell Vaughn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 120 Hospital Dr Ste 130
Jefferson City, TN, 37760
United States |
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| Phone Number : | 864-475-4742 |
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| Fax Number : | 865-262-0100 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689084865 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2014 |
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| Last Updated On : | 26 Jun, 2018 |
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Medicare Participation:
Dr. Albert Russell Vaughn participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7315296332 |
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| Medicare Enrollment ID : | I20180823001539 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Tennessee, Hsc, College Of Medicine |
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| Graduation Year : | 2014 |
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| Accepts Medicare? | Yes. Dr. Albert Russell Vaughn accepts medicare insurance. |
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Group Practice Association:
Dr. Albert Russell Vaughn is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Albert Russell Vaughn is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Summit Medical Group Pllc | 2860396330 | 448 | 380 W Broadway Blvd
Jefferson City, TN - 377605279
Ph: 8654754742 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Albert Russell Vaughn are as mentioned. Primary taxonomy code for Dr. Albert Russell Vaughn, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | MD0000057030 | TN |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | MD0000057030 | TN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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910 MADISON AVE, SUITE 1031
MEMPHIS, TN, 38103-3403
United States | MEMPHIS, TN | 901-448-5814 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1225 E Weisgarber Rd Ste 200
Knoxville, TN, 37909-2675
United States |
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| Phone Number : | 865-584-4747 |
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| Fax Number : | 865-584-1363 |
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Business Location:
Patients can refer following map for directions to
Dr. Albert Russell Vaughn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.