Individual provider · Type 1 NPI

Storm Bradley Vaughn, AA

Anesthesiologist Assistant · Fort Wayne, IN

NPI number 1780179333 Active

Practice location

11109 Parkview Plaza Dr
Fort Wayne, IN 46845

Call (260) 425-6030 Map

Fax (260) 425-6028

Mailing address

3702 New Vision Dr Bldg B
Fort Wayne, IN 46845-1703

Other practice locations

  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 · (850) 431-1155
  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 · (850) 431-1155

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000X75000046A (IN)
Anesthesiologist Assistant Primary 367H00000XAA484 (FL)
Anesthesiologist Assistant 367H00000XNone listed

Anesthesiologist Assistant: 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 …

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About NPI 1780179333

Storm Bradley Vaughn, AA's National Provider Identifier is 1780179333, issued on Jun 26, 2018. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 31, 2025.