Active NPI
Gwendolyn Blanchard-Baugh, APRN, NP-C
- Adult Health Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN.CNP.14392
- Practice address
- 3000 Corporate Exchange Dr
Columbus, OH 43231-7689 - Phone
- (888) 562-5442
- Fax
- (562) 276-4825
- NPI assigned
- Jan 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN.269003-COA1 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | COA.14392-NP | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN.CNP.14392 | OH | Primary |
Addresses
Primary practice location
3000 Corporate Exchange Dr
Columbus, OH 43231-7689
Mailing address
200 Oceangate
#100
Long Beach, CA 90802-4317
Phone (562) 499-6191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11544 Springfield Pike
Springdale, OH 45246-3516
41800 W 11 Mile Rd
Suite 109
Novi, MI 48375-1818
424 Church St
Nashville, TN 37219-2301
9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5172
PO Box
Cincinnati, OH 45263
PO Box
Detroit, MI 48277
PO Box
Suite 772290
Detroit, MI 48277-2290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.14392 | OH | MD | Adult Health Nurse Practitioner |
| COA.14392-NP | OH | MD | Adult Health Nurse Practitioner |
| RN.269003-COA1 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Cornerstone Empowerment Agency | Current | Accepting new patients | |
| CNP Operating Co LLC | Current | Accepting new patients | |
| Reign Telemed | Adult Health | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
5900 Meadow Creek Dr
Milford, OH 45150
Phone (513) 248-1655
7120 Port Sylvania Dr
Toledo, OH 43617
Phone (419) 841-2200
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Adult Health Nurse Practitioner
- Liberty Township, OH
- NPI 1316816671
-
- Community Health Nurse Practitioner
- Fairfield Township, OH
- NPI 1235008319
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1063833382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "#100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-499-6191",
"fax_number": "562-276-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 CORPORATE EXCHANGE DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432317689",
"telephone_number": "888-562-5442",
"fax_number": "562-276-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD-BAUGH",
"first_name": "GWENDOLYN",
"credential": "APRN, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-05",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "RN.269003-COA1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.14392-NP",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "APRN.CNP.14392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.