Scott Lawrence Baughan, MD-PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34511 Issued in MN

Practice address

420 Delaware St SE
Minneapolis, MN 55455-0341

Phone

(612) 625-9100

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1366297749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734503",
            "telephone_number": "810-701-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550341",
            "telephone_number": "612-625-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHAN",
        "first_name": "SCOTT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "34511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Bauer, RN
• Mary Kristi Bauer, RN
• Michael R Bauer, DDS
• Nicole Ann Bauerly, DPM
• Alicia R Bauers, MSW, LICSW
• Barbara Agnes Baum, PT
• Grayson Weaver Baum, MD, MS
• Jonathan David Bauman, MD
• Kamara Bauman, MSW, LGSW
• Lillian Claire Bauman, LICSW

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.