James R Baldwin, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Muncie, IN
NPI 1043393630 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1043393630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 01025302A (IN)
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 751-5243
- Fax
- (765) 741-2905
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01025302A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Indiana Pathologists PC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Urology Associates, LLC | Past | Accepting new patients |
Locations
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515
5700 Southwyck Blvd
Toledo, OH 43614
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01025302A | IN | Yes |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
PO Box 30309
Charleston, SC 29417-0309
Phone (843) 554-9300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099554 | Medicaid | OH | |
| 6470 | Other | IN | PHYSICIAN HEALTH PLAN |
| 000000083416 | Other | IN | BLUE CROSS BLUE SHIELD |
| 000000007088 | Other | IN | M-PLAN |
Other providers in Muncie, IN
- Gail Baker
- Joseph Matthew Baker
- Kendal R Baker
- Richard Baker
- Archebal Alfeche Balaoy
- Jordan Baldwin
- Nicholas Bales
- Ball Memorial Hospital
- Ball Memorial Hospital, Inc.
- Ball Outpatient Surgery Center, LLC
All providers in Muncie, IN · Anatomic Pathology & Clinical Pathology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.