Provider Demographics
NPI:1114994068
Name:CORTEZ, BARBARA BAUGHMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:BAUGHMAN
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2934 WHISPERING OAKS CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6578
Mailing Address - Country:US
Mailing Address - Phone:937-429-0634
Mailing Address - Fax:937-429-0638
Practice Address - Street 1:273 REGENCY RIDGE DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4221
Practice Address - Country:US
Practice Address - Phone:937-433-2130
Practice Address - Fax:937-433-2157
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.006998207N00000X
NV1132207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH34643Medicare UPIN
OH4046681Medicare ID - Type Unspecified