Richard U Baldwin, MD
Individual provider Active NPI Emergency Medicine Physician · Bryan, OH
NPI 1174561963 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1174561963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35061186B (OH)
- Practice address
- 433 W. High St.
Bryan, OH 43506 - Phone
- (419) 636-1131
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OH, IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000286 | OH | Practitioner - Emergency Medicine |
3577465723 | |
| I20140623002010 | IL | Practitioner - Emergency Medicine | 3577465723 | Reassigns benefits to 2 organizations |
| I20160628001705 | IN | Practitioner - Emergency Medicine |
3577465723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35061186B | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current |
Accepting new patients |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Eye Microsurgery, LTD. | Past |
Accepting new patients | |
| Nes Ohio Inc | Emergency Medicine | Past | Accepting new patients |
| Hills & Dales General Hospital, Inc. | Past | Accepting new patients | |
| Ohio Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| FCHC Medical Care, LLC | Past | Accepting new patients |
Locations
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35061186B | OH | Yes |
Addresses
Primary practice location
433 W. High St.
Bryan, OH 43506
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000317839 | Other | BCBS | |
| 0823694 | Medicaid | OH |
Other providers in Bryan, OH
- Americare Staffing, LTD
- Caitlin Nicole Armstrong
- Jodi Arnold
- Robert F Arrom
- Kimberly Baerlin
- Bonnie Sue Baltosser
- Christine Barnett
- Philip Michael Bauer
- Hanan G Bazzi
- Nichole Diane Bear
All providers in Bryan, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.