Active NPI
Jeffrey Call Baugh, PA-C
- Physician Assistant
- North Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7474499-1206
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7474499-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Dermatology PLLC | Dermatology | Current | 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.
-
- Dermatology Physician
- Logan, UT
- NPI 1770779985
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Logan Regional Hospital
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
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
- Ryan Mackay Austin, MSN, APRN, FNP-C
- John Charles Bailey, M.D., MSPH
- Michelle C Bailey, FNP
- Sandra Ballard, IBCLC
- Deena Balls, CNM
- Bear Lake Community Health Center, Inc. (Cache Valley Community Health Center)
- Jeffrey Green Bennion, M.D.
- Caitlin Sayard Benvenuti
- Bradley Pope Bills, D.D.S., P.C.
- James Wallentine Blotter, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.