Paul J Baughman, DO
Individual provider Active NPI Obesity Medicine (Family Medicine) Physician · Harrisburg, PA
NPI 1902861230 · NPPES record last updated Sep 28, 2020
Key facts
- NPI
- 1902861230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity Medicine (Family Medicine) Physician 207QB0002X
- License
- OS010598L (PA)
- Practice address
- 2200 Dover Rd
Harrisburg, PA 17112-1002 - Phone
- (717) 695-0007
- Fax
- (717) 889-0805
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070717000100 | PA | Practitioner - Family Practice | 6608976816 | Practice locations: Harrisburg, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS010598L | PA | MD | Obesity Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baughman Family Medicine | Family Medicine | Past |
Accepting new patients |
Interoperability endpoints
- paulbaughmando@weightloss.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS010598L | PA | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | OS010598L | PA | Yes |
Addresses
Primary practice location
2200 Dover Rd
Harrisburg, PA 17112-1002
Mailing address
2200 Dover Rd
Harrisburg, PA 17112-1002
Phone (717) 695-0007
Other practice location 1
1708 Main St
Blakely, PA 18447-1362
Phone (570) 291-4170
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paulbaughmando@weightloss.medentdirect.com | Direct | |
| Direct Messaging Address | paulbaughmando@weightloss.medentdirect.com | Direct |
Other providers in Harrisburg, PA
- Michelle Batz
- Tracie Lee Bauer
- Baughman Family Medicine
- Alicia Lynn Baughman
- Corey Joe Baughman
- Jennie M Baumgardner
- Sheina Lauren Bawa
- Bayada Home Health Care, Inc.
- Bayada Home Health Care, Inc.
- Catherine Bongka Baye Easton
All providers in Harrisburg, PA · Obesity Medicine (Family Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2020. 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.