Individual provider Active NPI

Craig Leigh Baugher, PA

  • Physician Assistant
  • Mill Creek, WA
National Provider Identifier
1447447610
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 19342 Issued in CA
Practice address
15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797
Phone
(425) 385-2009
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 19342 CA Primary

Addresses

Primary practice location

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797

Mailing address

15906 Mill Creek Blvd Ste 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000768 WA Practitioner - Physician Assistant 4486734688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

1515 116TH Ave NE
Suite 307
Bellevue, WA 98004-3811
Phone (425) 999-2628

15906 Mill Creek Blvd
Suite 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

16410 Smokey Point Blvd
Arlington, WA 98223-8415
Phone (425) 385-2009

4407 Fairmont Ave
Port Angeles, WA 98363-9514
Phone (503) 362-8385

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 19342CAMDPhysician Assistant
19342CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Physician Assistant CurrentSince Apr 1, 2021 Accepting new patients

Locations

16410 Smokey Point Blvd
Ste 307
Arlington, WA 98223
Phone (360) 651-1833

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

3131 Nassau St
#101
Everett, WA 98201
Phone (425) 339-8888

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012
Phone 4253852009111

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

Interoperability endpoints

  • Direct secure messaging: craigb@frontierdermpartners.emadirect.md

Organizations & group practices 1

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 2

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1447447610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHER",
        "first_name": "CRAIG",
        "middle_name": "LEIGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 19342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.