Mary E Baldwin, MD
Individual provider Active NPI Family Medicine Physician · Dunlap, TN
NPI 1528021482 · NPPES record last updated Mar 31, 2010
Key facts
- NPI
- 1528021482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD19169 (TN)
- Practice address
- 15115 Rankin Ave
Dunlap, TN 37327 - Phone
- (423) 949-2224
- Fax
- (423) 949-5935
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19169 | TN | MD | Family Medicine Physician |
| 19169 | TN | MD | Certified Registered Nurse Anesthetist |
Interoperability endpoints
- marybaldwin@mbaldwin.ssdirect.aprima.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19169 | TN | Yes |
Addresses
Primary practice location
15115 Rankin Ave
Dunlap, TN 37327
Mailing address
PO Box 1960
Dunlap, TN 37327-1960
Phone (423) 949-2224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3048714 | Medicaid | TN |
Other providers in Dunlap, TN
- Affordable Chiropractic, PC
- Ashlee Anderson
- Jennifer Morrison Ashby
- Frances Maureen Barker
- Lisa Blackmer
- Ann Bolton
- Charles E Boyer
- Donald Francis Brennan
All providers in Dunlap, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.