Individual
CHAD D BAUGHMAN
Active
Individual
CHAD D BAUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100000724A
IN
363AM0700X
Medical Physician Assistant
PA9103885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000939875
ANTHEM PTAN
IN
01
—
000000940829
ANTHEM PTAN
IN
01
—
000001176213
ANTHEM PTAN
IN
01
—
10000724A
LICENSE
IN
05
—
300014028
—
IN
01
—
PA9103885
LICENSE
FL
Enumeration date
09/23/2005
Last updated
05/13/2025
Update your record
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