Individual
JEFFERY D. VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 859-7222
(317) 859-7220
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 890-2000
(317) 859-4269
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01043396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091685
ANTHEM PROVIDER NUMBER
IN
05
—
200028680
—
IN
Enumeration date
07/28/2006
Last updated
07/23/2025
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