Scott Alan Baldridge, D.O.
Individual provider Active NPI Sleep Medicine (Family Medicine) Physician · Mountain Home, ID
NPI 1295728897 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1295728897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sleep Medicine (Family Medicine) Physician 207QS1201X
- License
- 009868 (AZ)
- Practice address
- 365 McKenna Dr
Mountain Home, ID 83647 - Phone
- (208) 587-9703
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Sleep Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Amdx LTD
Sleep Wake Idaho PLLC
Practice addresses (Care Compare)
2266 S Dobson Rd
Suite 105
Mesa, AZ 85202-6488
Phone (602) 424-4450
7272 W Potomac Dr
Boise, ID 83704-9149
Phone (208) 884-2922
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, AZ
- 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 |
|---|---|---|---|---|
| I20071108000672 | ID | Practitioner - Sleep Medicine |
9032207089 | Reassigns benefits to 1 organization |
| I20220922001674 | AZ | Practitioner - Sleep Medicine |
9032207089 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amdx, LTD | Current |
Accepting new patients | |
| Sleep Wake Idaho PLLC | Sleep Medicine | Current |
Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Past | Accepting new patients | |
| Neurodiagnostic Laboratories, LLC | Past |
Accepting new patients |
Locations
10320 W McDowell Rd
Ste K1135
Avondale, AZ 85392
6136 E Brown Rd
Ste 103
Mesa, AZ 85205
2266 S Dobson Rd
Ste 105
Mesa, AZ 85202
2423 W Dunlap Ave
Ste 175
Phoenix, AZ 85021
Phone (480) 889-1993
8687 E Via de Ventura
Ste 214
Scottsdale, AZ 85258
Phone (480) 659-5563
7272 W Potomac Dr
Boise, ID 83704
Phone (208) 884-2922
210 W Georgia Ave
Ste 210
Nampa, ID 83686
210 W Georgia Ave
Ste 120
Nampa, ID 83686
Phone (208) 442-8222
Interoperability endpoints
- sbaldridge29835@direct.slhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O-333 | ID | |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 009868 | AZ | Yes |
Addresses
Primary practice location
365 McKenna Dr
Mountain Home, ID 83647
Mailing address
515 E 17TH N
Mountain Home, ID 83647-1759
Phone (208) 587-0155
Other providers in Mountain Home, ID
- Nicholas J Arbon
- Taylor Areson
- Ashley Manor, LLC
- Paul Giovanni Ayala Ramos
- Amy S Baker
- Veronica Ballek
- Lester Barroso
- Dirk Kenneth Baskett
- Dawn D Best
- Brion Prince Bethel Sr.
All providers in Mountain Home, ID · Sleep Medicine (Family Medicine) Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.