Physician Compare National (NPI:1962571273)

HEALTHCARE PROVIDER: LENORA BROOKE VAUGHAN DO

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

Individual Professional Information
NPI	1962571273
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648377564
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180706000772
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VAUGHAN
	Individual professional last name
Provider First Name	LENORA
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	QUESTCARE OBSTETRICS COLORADO LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3072759133
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4567 E 9TH AVE
	Group Practice or individual's line 1 address
City	DENVER
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	802205337
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3033202455
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y