Provider Demographics
NPI:1861478018
Name:BAUGHMAN, RENEE T (MD)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:T
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5927 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-2218
Mailing Address - Country:US
Mailing Address - Phone:716-297-9379
Mailing Address - Fax:716-297-4638
Practice Address - Street 1:5927 MILITARY RD
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2218
Practice Address - Country:US
Practice Address - Phone:716-297-9379
Practice Address - Fax:716-297-4638
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218474207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02462206Medicaid
NYH91717Medicare UPIN
NY077041Medicare Oscar/Certification
NYDD6717Medicare PIN