Healthcare Provider Details

I. General information

NPI: 1477120871
Provider Name (Legal Business Name): CARTER BAUGHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 HOUMA BLVD
METAIRIE LA
70006-2970
US

IV. Provider business mailing address

4200 HOUMA BLVD
METAIRIE LA
70006-2970
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4000
  • Fax:
Mailing address:
  • Phone: 504-503-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number288905
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1018190
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number345288
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number61683
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: