Maida Patricia Baugh, MD
Individual provider Active NPI Pediatrics Physician · Bolivar, MO
NPI 1508979402 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1508979402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2003028755 (MO)
- Practice address
- 1165 N Butterfield Rd
Bolivar, MO 65613-1056 - Phone
- (417) 777-2121
- Fax
- (417) 777-2854
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003028755 | MO | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2003028755 | MO | Yes |
Addresses
Primary practice location
1165 N Butterfield Rd
Bolivar, MO 65613-1056
Mailing address
1165 N Butterfield Rd
Bolivar, MO 65613-1056
Phone (417) 777-2121
Other providers in Bolivar, MO
- Deanna Lynn Barklage
- Brandon Barnes
- Brent Allen Bartgis
- Jason A Barzee
- Ashley M Batson
- Robert B Behnke
- Logan Benedict
- Lavonne A Berg
- Beth Marie Bernard
- Richard A Bertelsen Jr.
All providers in Bolivar, MO · Pediatrics Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.