Stacie M Baldwin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

35-2268554 Issued in IL

Practice address

319 W Commerce St
Grayville, IL 62844-1565

Phone

(618) 375-9992

Fax

(618) 375-9991

NPI assigned

Oct 11, 2006

Last updated

May 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacie M Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Fairfield Memorial Hospital Association

  dba Horizon Healthcare

  • Rural Health Clinic/Center
  • Fairfield, IL
  • NPI 1295908853
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1386732311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 HILLTOP DR",
            "city": "GRAYVILLE",
            "state": "IL",
            "postal_code": "628441824",
            "telephone_number": "618-384-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W COMMERCE ST",
            "city": "GRAYVILLE",
            "state": "IL",
            "postal_code": "628441565",
            "telephone_number": "618-375-9992",
            "fax_number": "618-375-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "STACIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "35-2268554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "MILLER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonum Inc (Meadowood)
• Brandon Moore Chiropractic P.C.
• City of Grayville (City of Grayville Ambulance Service)
• Ralph Demaret
• Grayville Community Unit School District #1

• Chiropractor in Grayville, IL
• Providers in Grayville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.