Provider Demographics
NPI:1073671129
Name:BAUGH, JAMES R (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:BAUGH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4115 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-1022
Mailing Address - Country:US
Mailing Address - Phone:703-273-6714
Mailing Address - Fax:703-280-9350
Practice Address - Street 1:3020 HAMAKER CT
Practice Address - Street 2:SUITE 200
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2238
Practice Address - Country:US
Practice Address - Phone:703-573-2432
Practice Address - Fax:703-280-9350
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101043664208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF79460Medicare UPIN