Tyler Creighton Vaughn, MD | |
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
(970) 495-7000 | |
(303) 306-7753 |
Full Name | Tyler Creighton Vaughn |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1024 S Lemay Ave, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083976864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301101188 (Michigan) | Secondary |
207P00000X | Emergency Medicine | DR.0060908 (Colorado) | Primary |
Entity Name | Southwestern Michigan Emergency Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013021310 PECOS PAC ID: 1456265891 Enrollment ID: O20040211000832 |
Mailing Address | Practice Location Address |
---|---|
Tyler Creighton Vaughn, MD Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Tyler Creighton Vaughn, MD 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-7000 |
Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Alexa L Toth, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Pennock Place, Suite 121, Fort Collins, CO 80524 Phone: 970-495-8800 Fax: 970-495-8820 | |
Thomas John Fralich, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611 | |
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Shelley W. Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526 Phone: 970-204-0300 Fax: 970-221-5206 |