Individual provider Active NPI

John R. Baugh Jr., MD

  • Emergency Medicine Physician
  • Texarkana, TX
National Provider Identifier
1447297239
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K2644 Issued in TX
Practice address
2001 Mall Dr
Texarkana, TX 75503-2560
Phone
(903) 336-3412
Fax
(903) 949-6039
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10101 ND
Family Medicine Physician 207Q00000X 10101 ND
Emergency Medicine Physician 207P00000X K2644 TX Primary

Addresses

Primary practice location

2001 Mall Dr
Texarkana, TX 75503-2560

Mailing address

2001 Mall Dr
Texarkana, TX 75503-2560
Phone (701) 364-8000

Other identifiers 1

IdentifierTypeStateIssuer
13605MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040414000551 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8123012887 Reassigns benefits to 5 organizations
I20051017000808 ND Practitioner - Family Practice 8123012887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Round Table Physicians Group PLLCGroup PAC ID 0547682460, 80 clinicians

Practice addresses (Care Compare)

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

8910 Hwy 6 S
Houston, TX 77083-6339
Phone (832) 699-3777

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Essentia Health Hospital, Fargo, ND, CCN 350070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10101NDMDEmergency Medicine Physician
K2644TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
East Texas Medical Center Henderson Current Accepting new patients
Round Table Physicians Group PLLC CurrentSince Feb 4, 2021 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC Family Medicine CurrentSince May 1, 2008 Accepting new patients
Innovis Health LLC Family Medicine CurrentSince May 1, 2008 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Jul 5, 2022 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

8910 Highway 6 S
Houston, TX 77083
Phone (281) 258-4351

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2001 Mall Dr
Texarkana, TX 75503
Phone (903) 306-2126

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1447297239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032560",
            "telephone_number": "701-364-8000",
            "fax_number": "903-949-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MALL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032560",
            "telephone_number": "903-336-3412",
            "fax_number": "903-949-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "10101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10101",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K2644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13605",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.