Jonathon Baldwin, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

22507 Issued in KY

Practice address

1724 Rockingham Ave
Suite 101
Bowling Green, KY 42104-3379

Phone

(270) 842-7588

Fax

(270) 842-7687

NPI assigned

Aug 19, 2006

Last updated

Jan 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Allergy Care Bowling Green Inc

  • Allergy & Immunology Physician
  • Bowling Green, KY
  • NPI 1245371632
  Authorized official Same address or phone

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1457466849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE",
            "address_2": "SUITE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043379",
            "telephone_number": "270-842-7588",
            "fax_number": "270-842-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 ROCKINGHAM AVE",
            "address_2": "SUITE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043379",
            "telephone_number": "270-842-7588",
            "fax_number": "270-842-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "JONATHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "KY",
            "license": "22507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64225071",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030002084",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004263343",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "000000049457",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Davis Baker, BSN/CPNP
• Mary Jo D. Baker, APRN
• Terry Randall Baker, LMFT
• Balance Therapeutic Care, Counseling Services LLC
• John W Balchunas, PA
• Kenneth Grant Bale, DMD
• Margaret Louise Ballard
• Olivia Ballard
• Khrystin Ballenger, LMFT
• Sherri Ballinger

• Allergy & Immunology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Allergy & Immunology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.