Provider Demographics
NPI:1295843522
Name:BAUGHMAN FAMILY MEDICINE
Entity Type:Organization
Organization Name:BAUGHMAN FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BAUGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-657-2111
Mailing Address - Street 1:2200 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1002
Mailing Address - Country:US
Mailing Address - Phone:717-657-2111
Mailing Address - Fax:717-657-0110
Practice Address - Street 1:2200 DOVER RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1002
Practice Address - Country:US
Practice Address - Phone:717-657-2111
Practice Address - Fax:717-657-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018552300003Medicaid
H36760Medicare UPIN
PA0018552300003Medicaid