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NPI Code Detail

MEDICARE: CHAD D BAUGHMAN PA-C

MEDICARE:   CHAD D BAUGHMAN  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA9103885FL
2363AM0700XMedical Physician Assistant100000724AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000940829OTHERINANTHEM PTAN
210000724AOTHERINLICENSE
3000000939875OTHERINANTHEM PTAN
4000001176213OTHERINANTHEM PTAN
5PA9103885OTHERFLLICENSE
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760478812
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD D BAUGHMAN PA-C
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 550 N UNIVERSITY BLVD
Second Line : STE 3100
City : INDIANAPOLIS
State : IN
Zip : 46202-5149
Country : US
Telephone Number : 317-963-7285
Fax Number : 317-963-7313
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 05/13/2025

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Directions to “ CHAD D BAUGHMAN PA-C” Practice Location

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