Provider Demographics
NPI:1477531291
Name:BAUGHN, MELANIE R (DO)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:R
Last Name:BAUGHN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9695 S. YOSEMITE
Mailing Address - Street 2:STE. 150
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124
Mailing Address - Country:US
Mailing Address - Phone:720-255-2350
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:9695 S. YOSEMITE
Practice Address - Street 2:STE. 150
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124
Practice Address - Country:US
Practice Address - Phone:720-255-2350
Practice Address - Fax:303-306-7753
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO44080207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19024363Medicaid
COE803875Medicare ID - Type Unspecified
CO19024363Medicaid