STORM BRADLEY VAUGHN AA
NPI 1780179333
Anesthesiologist Assistant in Fort Wayne, IN

Q: What is Storm Vaughn's NPI number?

The NPI number for Storm Vaughn is 1780179333. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Storm Vaughn's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Storm Vaughn was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2018Accepts Medicare Assignment

11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 425-6030(260) 425-6028 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2019, Jun 26, 2018 (2 updates tracked since 2018).

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About Storm Bradley Vaughn Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STORM BRADLEY VAUGHN AA (NPI 1780179333) is an individual anesthesiologist assistant in Fort Wayne, Indiana, licensed in Florida (AA484) and active in the NPI registry since June 2018. He maintains a secondary practice location in Tallahassee and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1780179333

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameSTORM BRADLEY VAUGHNCredential: AA

Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703

Phone(260) 425-6030

Fax(260) 425-6028

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2018

Enumeration DateJune 26, 2018

Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1780179333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in FL · AA484✔ Licensed in IN · 75000046A

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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Secondary Practice Location 1

Location 11300 Miccosukee RdTallahassee, FL 32308-5037 · Phone (850) 431-1155

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Storm Bradley Vaughn Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496092991

PECOS Enrollment IDI20190122002321

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

62 services62 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

58 services57 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

54 services54 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

21 services21 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMAD ALHARIRI MD

Internal Medicine