Baughman & Associates Age Management Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14681 Issued in AZ

Legal business name

BAUGHMAN & ASSOCIATES AGE MANAGEMENT MEDICINE LLC

Practice address

13460 N 94TH Dr
Ste L1
Peoria, AZ 85381-4835

Phone

(623) 977-0955

Fax

(623) 977-3729

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles H Baughman, M.D.

Title

Owner

Phone

(623) 977-0955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1497929863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "STE L1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-977-0955",
            "fax_number": "623-977-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 94TH DR",
            "address_2": "STE L1",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814835",
            "telephone_number": "623-977-0955",
            "fax_number": "623-977-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAUGHMAN & ASSOCIATES AGE MANAGEMENT MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BAUGHMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-977-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole A Barton, BCBA
• Sarah Barton, M.ED., LPC
• Avtar S Bassin, MD
• David M Bates, DPM
• Rachael Battle
• Alyssa Michelle Bauman, FNP-C
• Nancy Lee Bausch, PHD, CHT
• Lisa Bauschelt, LMSW
• Diana Veronica Bautista, FNP
• Joseph Andrew Baxter, DO

• Family Medicine Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.