Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tom McKibbin-Vaughan, PA

Individual provider Medical Physician Assistant · NPI 1497787584

Tom McKibbin-Vaughan, PA is a Physician Assistant in Hudson, New York. Qualified in 2003, 23 years ago. Practices with Columbia Memorial Hospital, a 169-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2400 US Route 9
Hudson, NY 12534-4725
Phone: (518) 537-4900
Fax: (518) 537-5977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009679 (NY)

Record details

NPI number1497787584
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESMay 6, 2010
Mailing address600 Westage Business Ctr Dr, Fishkill, NY 12524-2281

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Columbia Memorial Hospital — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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