Pinelake Physician Practice LLC
NPI 1255650479 · Otolaryngology/Facial Plastic Surgery Physician · Mayfield, KY
Pinelake Physician Practice LLC is a Otolaryngology/Facial Plastic Surgery Physician organization in Mayfield, KY (NPI 1255650479).
Provider details
- NPI number
- 1255650479
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Vaughn, Vice President(615) 372-8500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Purchase Ent & Aesthetic Surgery
Registry dates
- Enumerated
- 2010-05-27
- Last updated
- 2010-05-27
Frequently asked questions
- What is Pinelake Physician Practice LLC's NPI number?
- Pinelake Physician Practice LLC's National Provider Identifier (NPI) is 1255650479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pinelake Physician Practice LLC?
- Pinelake Physician Practice LLC is classified in the NPPES registry as Otolaryngology/Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pinelake Physician Practice LLC located?
- Pinelake Physician Practice LLC's practice location on file with NPPES is 1111 Medical Center Cir, Mayfield, KY 42066-1194.
- What is Pinelake Physician Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Pinelake Physician Practice LLC is (270) 251-4080.
- Who is the authorized official for Pinelake Physician Practice LLC?
- The authorized official listed on Pinelake Physician Practice LLC's NPPES record is Timothy Vaughn, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pinelake Physician Practice LLC's NPI active?
- Yes — Pinelake Physician Practice LLC's NPI (1255650479) is active in the NPPES registry as of the last update on 2010-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.