Provider Demographics
NPI:1275249922
Name:BAUGHMAN, SCOTT THOMAS
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:THOMAS
Last Name:BAUGHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 WINCHESTER AVE STE E
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-2102
Mailing Address - Country:US
Mailing Address - Phone:304-209-2001
Mailing Address - Fax:
Practice Address - Street 1:630 WINCHESTER AVE STE E
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-2102
Practice Address - Country:US
Practice Address - Phone:304-209-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator