Vance P Baughman

Individual provider Active NPI Medical Physician Assistant · Bridgeport, CT

NPI 1578024105 · NPPES record last updated Jul 18, 2025

Key facts

NPI
1578024105
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
Practice address
325 Lafayette St Unit 1003
Bridgeport, CT 06604-5472
Phone
(443) 814-3731
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250730003527 MD Practitioner - Physician Assistant 5597272716 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current
since Sep 1, 2025
Accepting new patients
Johns Hopkins University Current
since Sep 1, 2025
Accepting new patients

Locations

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

600 N Wolfe St
Baltimore, MD 21287

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Yes
Physician Assistant 363A00000X C0008707 MD

Addresses

Primary practice location

325 Lafayette St Unit 1003
Bridgeport, CT 06604-5472

Mailing address

325 Lafayette St Unit 1003
Bridgeport, CT 06604-5472
Phone (443) 814-3731

Other practice location 1

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Medical Physician Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.