Individual provider Active NPI

Jeffrey Call Baugh, PA-C

  • Physician Assistant
  • North Logan, UT
National Provider Identifier
1821323403
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7474499-1206 Issued in UT
Practice address
2245 N 400 E Ste 104
North Logan, UT 84341-1785
Phone
(435) 752-5741
NPI assigned
Oct 15, 2009
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7474499-1206 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000288 UT Practitioner - Physician Assistant 1658415294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly W Hubbard MD PCGroup PAC ID 1951499433, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7474499-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Dermatology PLLC Dermatology CurrentSince Dec 3, 2023 Accepting new patients
J Robert West, M.D., Inc Dermatology Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1821323403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N 400 E STE B",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411756",
            "telephone_number": "435-752-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N 400 E STE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411785",
            "telephone_number": "435-752-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 E 300 S",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843329464",
            "country_code": "US",
            "telephone_number": "435-770-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "JEFFREY",
        "middle_name": "CALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-15",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7474499-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

Verify at the official NPI Registry.