Individual provider Active NPI

Christopher R Baldwin, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1033159074
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD25501 Issued in OR
Practice address
6200 N. Lacholla Blvd.
Tucson, AZ 85755
Phone
(520) 742-9000
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD25501 OR Primary

Addresses

Primary practice location

6200 N. Lacholla Blvd.
Tucson, AZ 85755

Mailing address

14230 NW Burton St
Portland, OR 97229-4329
Phone (503) 781-9840

Other practice location 1

14230 NW Burton St
Portland, OR 97229-4329
Phone (503) 781-9840

Other practice location 2

2225 NE Town Center Dr
Beaverton, OR 97006-8915
Phone (503) 726-1021

Other identifiers 2

IdentifierTypeStateIssuer
026491MedicaidOR
P00362643OtherORRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25501ORMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1033159074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14230 NW BURTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294329",
            "telephone_number": "503-781-9840",
            "fax_number": "503-726-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N. LACHOLLA BLVD.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85755",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14230 NW Burton St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972294329",
            "country_code": "US",
            "telephone_number": "503-781-9840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 NE Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970068915",
            "country_code": "US",
            "telephone_number": "503-726-1021",
            "fax_number": "503-726-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD25501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026491",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00362643",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.