Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cecil Cyrus Vaughn III, MD

Individual provider Vascular Surgery Physician · NPI 1912904509

Cecil Cyrus Vaughn III, MD is a Vascular Surgery in Glendale, Arizona. Graduated from Louisiana State University School of Medicine in New Orleans in 1988, 38 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
38
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6677 W Thunderbird Rd G-116
Glendale, AZ 85306-3709
Phone: (623) 435-1954
Fax: (623) 435-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 22494 (AZ)

Record details

NPI number1912904509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESSeptember 12, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1988 (38 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Glendale