Active NPI
Gary Baldwin, M.D.
- Obstetrics & Gynecology Physician
- Colville, WA
National Provider Identifier
1265404776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 016261
- Practice address
- 982 E Columbia Ave
Colville, WA 99114-3316 - Phone
- (509) 935-0824
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 016261 | ME | Primary |
Addresses
Primary practice location
982 E Columbia Ave
Colville, WA 99114-3316
Mailing address
910 N Washington St
Ste 209
Spokane, WA 99201-2202
Phone (509) 232-1145
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB32999 | Other | WA | MEDICARE GROUP |
| 8078300200 | Other | ID MEDICAID | |
| 7469BA | Other | WA | ASURIS |
| 8491862 | Other | WA | WA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109 | WY | MD | Psychologist |
| 016261 | ME | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rumford Community Family Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Rumford, ME
- NPI 1578599775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1265404776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N WASHINGTON ST",
"address_2": "STE 209",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012202",
"telephone_number": "509-232-1145",
"fax_number": "509-232-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 E COLUMBIA AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143316",
"telephone_number": "509-935-0824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ME",
"license": "016261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "AB32999",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID MEDICAID",
"identifier": "8078300200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "7469BA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA MEDICAID",
"identifier": "8491862",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.