NPIMap

Individual provider Active NPI

John Baughman, PA

  • Physician Assistant
  • Charleston, WV
National Provider Identifier
1982895140
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1291 Issued in WV
Practice address
501 Morris Street
Charleston, WV 25301
Phone
(304) 388-7498
NPI assigned
Aug 5, 2007
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 1291 WV Primary

Addresses

Primary practice location

501 Morris Street
Charleston, WV 25301

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 2

IdentifierTypeStateIssuer
1072298OtherWVWV DWC
001991663OtherWVBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000023 WV Practitioner - Physician Assistant 4789771643 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery General Hospital, IncGroup PAC ID 6204735269, 37 clinicians

Practice addresses (Care Compare)

400 Fairview Heighs Rd
Summersville, WV 26651-9308

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

PO Box
Suite 270
Montgomery, WV 25136-0270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1291WVMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery General Hospital, Inc CurrentSince Aug 4, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 13, 2022 Accepting new patients
West Virginia Health Care Cooperative Inc Physician Assistant CurrentSince Jul 1, 2019 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Aug 4, 2025 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jun 13, 2022 Accepting new patients
New Century Emergency Physician of West Virginia Inc Physician Assistant Past Accepting new patients
Long Point Emergency Physicians LLC Past Accepting new patients

Locations

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Interoperability endpoints

  • Direct secure messaging: jbaughman146517@direct.wvuhsdirect.com

Organizations & group practices 9

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1982895140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MORRIS STREET",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-388-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1072298",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001991663",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.