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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730003527 | MD | Practitioner - Physician Assistant | 5597272716 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current |
Accepting new patients | |
| Johns Hopkins University | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Chelsea Lauren Bateman
- Sarah Bates
- Samantha U Bathija
- Carol M Battin
- David Nicholas Bauer
- Dilara Baunach
- Emmanuel Estavillo Bautista
- Marianthony Baxter
- Abigail L Bayzath
- Matthew Ryan Beamer
All providers in Bridgeport, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.