Provider Demographics
NPI:1467480368
Name:BAUGHMAN, CATHY JUANITA
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:JUANITA
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 ARLINGTON AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4534
Mailing Address - Country:US
Mailing Address - Phone:330-453-7535
Mailing Address - Fax:
Practice Address - Street 1:413 ARLINGTON AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4534
Practice Address - Country:US
Practice Address - Phone:330-453-7535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2341568Medicaid