Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STORM BRADLEY VAUGHN, AA
ActiveAnesthesiologist Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1780179333
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2018 (7.8190365543718 yrs)
- Last Updated
- Oct 31, 2025
- Licenses
-
75000046A (IN)AA484 (FL)
Practice Information
- Address
-
11109 PARKVIEW PLAZA DRFORT WAYNE, IN, 46845Browse IN providers · Browse ZIP 46845
- Phone
- 2604256030
- Fax
- 2604256028
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
- Additional Specialty
- Anesthesiologist Assistant
- Additional Specialty
- Anesthesiologist Assistant
Other Anesthesiologist Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| JOHN WESLEY FARVER | AA-C | 1356624803 |
| CHRISTOPHER R DOUGHERTY | AA | 1720336548 |
| RYAN SHANE TIGHE | — | 1366952095 |
| ZACHARY E DILLON | — | 1689178253 |
| MR. TAYLOR PADEN | AA-S | 1902394836 |
| SEBAH ABDULAZIZ | — | 1245726645 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.