Storm Bradley Vaughn, AA
Anesthesiologist Assistant · Fort Wayne, IN
Practice location
11109 Parkview Plaza DrFort Wayne, IN 46845
- Phone
- (260) 425-6030
- Fax
- (260) 425-6028
NPI record
- NPI
- 1780179333
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2018
- Last updated
- October 31, 2025
- Certified
- October 31, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X |
AA484 | FL |
| Anesthesiologist Assistant | 367H00000X |
75000046A | IN |
| Anesthesiologist Assistant | 367H00000X |
— | — |
Mailing address
3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Other practice locations (2)
- 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 · (850) 431-1155
- 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 · (850) 431-1155
About Storm Vaughn
Storm Bradley Vaughn, AA is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The NPI number 1780179333 was assigned on June 26, 2018 and the record was last updated on October 31, 2025.
Storm Vaughn lists 2 licenses in the registry: #AA484 (FL) for Anesthesiologist Assistant; #75000046A (IN) for Anesthesiologist Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Storm Bradley Vaughn, AA?
The NPI number is 1780179333.
What is the phone number of Storm Vaughn?
The phone number listed for the practice location is (260) 425-6030.
Where is Storm Vaughn located?
11109 Parkview Plaza Dr, Fort Wayne, IN 46845.
What is the taxonomy code for Storm Vaughn?
The primary taxonomy code is 367H00000X – Anesthesiologist Assistant; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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