Provider Demographics
NPI:1164434528
Name:FRIGON, VAUGHN ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:VAUGHN
Middle Name:ARTHUR
Last Name:FRIGON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 ALBION ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2918
Mailing Address - Country:US
Mailing Address - Phone:615-341-4578
Mailing Address - Fax:
Practice Address - Street 1:1818 ALBION ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-2918
Practice Address - Country:US
Practice Address - Phone:615-341-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44986207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA052567OtherSTATE LICENSE
BF7205114OtherDEA
GA200077OtherBCBS OF GA - MAIN OFFICE
GA023292808AMedicaid
GA340390Medicaid
GA58-2555251OtherDOL OWCP/WC
GA052567OtherSTATE LICENSE
GA023292808BMedicaid
GA200077OtherSTATE MERIT MAIN OFFFICE
BF7205114OtherDEA
GA023292808AMedicaid
GA200077OtherBCBS OF GA - MAIN OFFICE
GA20BBFSLMedicare ID - Type Unspecified