Individual provider Active NPI

Richard U Baldwin, MD

  • Emergency Medicine Physician
  • Bryan, OH
National Provider Identifier
1174561963
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35061186B Issued in OH
Practice address
433 W. High St.
Bryan, OH 43506
Phone
(419) 636-1131
NPI assigned
Jun 3, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35061186B OH Primary

Addresses

Primary practice location

433 W. High St.
Bryan, OH 43506

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040127000286 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 3577465723
I20140623002010 IL Practitioner - Emergency Medicine 3577465723 Reassigns benefits to 2 organizations
I20160628001705 IN Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Pediatric Medicine 3577465723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061186BOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 1, 2014 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jan 4, 2017 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince May 1, 2014 Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Ohio Emergency Physicians LLC Emergency Medicine Past Accepting new patients
FCHC Medical Care, LLC Past Accepting new patients
Eye Microsurgery, LTD. PastSince Jan 4, 2017 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

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1174561963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W. HIGH ST.",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "43506",
            "telephone_number": "419-636-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "RICHARD",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35061186B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.