NPIMap

Individual provider Active NPI

Edward B. Baldwin III, PA-C

  • Physician Assistant
  • Tripler AMC, HI
National Provider Identifier
1215907373
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003377 Issued in VA
Practice address
1 Jarrett White Rd
Tripler Army Medical Center Attn:MCHK-QS
Tripler AMC, HI 96859-5001
Phone
(808) 433-8246
NPI assigned
Jan 23, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003377 VA Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center Attn:MCHK-QS
Tripler AMC, HI 96859-5001

Mailing address

95-203 Haloku PL
Mililani, HI 96789-4982
Phone (808) 433-8246

Other names 1

  • Tripp Baldwin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110504000000 VA Practitioner - Physician Assistant 7618032566 Reassigns benefits to 7 organizations
I20130905000649 FL Practitioner - Physician Assistant 7618032566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.12 of 100Reported as group
Quality
64.75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110003377VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Ingleside Emergency Group, LLC Physician Assistant CurrentSince Dec 27, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Mar 1, 2023 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 1, 2023 Accepting new patients
Russell Emergency Physicians LLC Past Accepting new patients
Greater Washington Emergency Physicians Chartered Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

Interoperability endpoints

  • Direct secure messaging: ebaldwin66893@shannonhealth.direct-ci.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1215907373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-203 HALOKU PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894982",
            "telephone_number": "808-433-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "EDWARD",
        "middle_name": "B.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003377",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRIPP",
            "last_name": "BALDWIN",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tripler AMC, HI

Sources for this page

Verify at the official NPI Registry.