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General NPI Number Information
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NPI Number | 1023730835
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Entity Type | Individual
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Provider Name | MICHAEL VAUGHN RT
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Gender | Male
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 3640 CENTRAL AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46205
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Country | US
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Telephone | 317-744-0364
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Fax |
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Provider Business Mailing Address
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Address Line | 8959 WOOSTER CT
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City | FISHERS
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State | IN
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Zip | 46038-4513
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Country | US
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Telephone | 317-922-1501
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | TT17015
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2278C0205X
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Taxonomy Name | Critical Care Certified Respiratory Therapist
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License Number | 30004738A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2278E0002X
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Taxonomy Name | Emergency Care Certified Respiratory Therapist
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License Number | 30004738A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 30004738A
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License Number State | IN
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