Jeffrey Call Baugh, PA-C – Physician Assistant

Key facts

NPI: 1821323403
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 7474499-1206 (UT)
Practice address: 2245 N 400 E Ste 104
North Logan, UT 84341-1785
Phone: (435) 752-5741
NPI assigned: Oct 15, 2009
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.

Kelly W Hubbard MD PC Dermatology Physician · Logan, UT · NPI 1770779985

Medicare reassignment Care Compare group UT
At Home Dermatology PLLC Dermatology Physician · Providence, UT · NPI 1821864844

NPD DERMATOLOGY
J Robert West, M.D., Inc Dermatology Physician · Newport Beach, CA · NPI 1932154788

NPD (past) DERMATOLOGY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Ihc Health Services Inc General Acute Care Hospital · Logan, UT · NPI 1831108497

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2009
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Kelly W Hubbard MD PC (5 clinicians)

Practice addresses (Care Compare)

2245 N 400
Suite 104
North Logan, UT 84341-1785
Phone (435) 752-5741

530 W 465
Suite 701
Providence, UT 84332-8006
Phone (435) 752-5741

560 W 465
Suite 604
Providence, UT 84332-8006

Hospital & facility affiliations

Intermountain Health Logan Regional Hospital Hospital · Logan, UT · CCN 460015

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT
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
I20100219000288	UT	Practitioner - Physician Assistant	1658415294	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
At Home Dermatology PLLC	Dermatology	Current since Dec 3, 2023	Accepting new patients
J Robert West, M.D., Inc	Dermatology	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	7474499-1206	UT	Yes

Addresses

Primary practice location

2245 N 400 E Ste 104
North Logan, UT 84341-1785

Mailing address

2380 N 400 E Ste B
North Logan, UT 84341-1756
Phone (435) 752-5741

Other practice location 1

311 E 300 S
Providence, UT 84332-9464
Phone (435) 770-5119

Other providers in North Logan, UT

All providers in North Logan, UT · Physician Assistant in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2023. 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).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.