Healthcare Provider Details

I. General information

NPI: 1255302485
Provider Name (Legal Business Name): THOMAS C BAUGH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. NAVAL HOSPITAL GUAM FARENHOLT STREET, BUILDING K-1
AGANA HEIGHTS GU
96919
US

IV. Provider business mailing address

30 MOUNT TENJO AVE
SANTA RITA GU
96915-1425
US

V. Phone/Fax

Practice location:
  • Phone: 671-344-9232
  • Fax:
Mailing address:
  • Phone: 671-565-8876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number9661
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO-0024
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: