Active NPI
Richard D Baughman, M.D.
- Dermatology Physician
- Lebanon, NH
National Provider Identifier
1881613792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 3488
- Practice address
- 18 Old Etna Rd
DH - Dermatology
Lebanon, NH 03766 - Phone
- (603) 650-3100
- Fax
- (603) 650-3174
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 5, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 3488 | NH | Primary |
| Dermatology Physician | 207N00000X | 042-0006880 | VT | |
| Dermatopathology Physician | 207ND0900X | 3488 | NH | |
| Dermatopathology Physician | 207ND0900X | 042-0006880 | VT |
Addresses
Primary practice location
18 Old Etna Rd
DH - Dermatology
Lebanon, NH 03766
Mailing address
1 Medical Center Dr
DHMC Dermatology
Lebanon, NH 03756-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003414 | Medicaid | VT | |
| 00000009 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0006880 | VT | MD | Dermatology Physician |
| 3488 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1881613792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DERMATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 OLD ETNA RD",
"address_2": "DH - DERMATOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "03766",
"telephone_number": "603-650-3100",
"fax_number": "603-650-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUGHMAN",
"first_name": "RICHARD",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NH",
"license": "3488",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VT",
"license": "042-0006880",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NH",
"license": "3488",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "VT",
"license": "042-0006880",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0003414",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000009",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.