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Physician Compare National (NPI:1467543017)

HEALTHCARE PROVIDER: YOLANDA HUET-VAUGHN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1467543017
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1658343991
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051205000810
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HUET VAUGHN
Individual professional last name
Provider First Name YOLANDA
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 3200 STRONG AVE
Group Practice or individual's line 1 address
City KANSAS CITY
Group Practice or individual's city
State KS
Group Practice or individual's state
Zip Code 661062116
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 170104
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SHAWNEE MISSION MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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