Charles Eugene Baldwin, M.D.

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

M3884 Issued in TX

Practice address

502 Madison Oak Drive
Suite 330
San Antonio, TX 78258-4298

Phone

(210) 481-3006

Fax

(210) 481-3793

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2263/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles E. Baldwin MD

  • Pediatric Surgery Physician
  • San Antonio, TX
  • NPI 1821271503
  NPD (past) Authorized official
• Audrey Durrant MD PLLC

  • Pediatric Surgery Physician
  • San Antonio, TX
  • NPI 1336574920
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1104820554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DRIVE",
            "address_2": "SUITE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584298",
            "telephone_number": "210-481-3006",
            "fax_number": "210-481-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MADISON OAK DRIVE",
            "address_2": "SUITE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584298",
            "telephone_number": "210-481-3006",
            "fax_number": "210-481-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AL",
            "license": "7025",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "M3884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4041476",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096153100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1710246",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183103401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051009542",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "51009542BAL",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Baldinell
• Daniel Baldini, MS
• Eugenia Baldizon, PNP
• Sarah Nicole Baldridge, DNP, APRN, FNP-C
• Barbara Ann Baldwin
• Heather Baldwin
• Kadeishia Baldwin
• Rachell Amanda Baldwin, BCBA
• Tami Baldwin, RN
• Gregory Bales, ATP

• Pediatric Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.