Active NPI
Gwendolyn E Baldwin, PA-C
- Physician Assistant
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110004365
- Practice address
- 3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456 - Phone
- (434) 973-1831
- Fax
- (434) 973-3120
- NPI assigned
- Jul 5, 2006
- Last updated
- Feb 21, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004365 | VA | Primary |
Addresses
Primary practice location
3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456
Mailing address
3025 Berkmar Dr Ste 1
Charlottesville, VA 22901-1456
Phone (434) 973-1831
Other names 1
- Gwendolyn Palamarchuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients |
Locations
950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011
3025 Berkmar Dr
Ste 1
Charlottesvle, VA 22901
Phone (434) 973-1831
8644 Sudley Rd
#220
Manassas, VA 20110
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
dba COMBI (Comprehensive Occupational Medicine for Business & Industry)
- Occupational Medicine Clinic/Center
- Tampa, FL
- NPI 1134235872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1548291255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 BERKMAR DR STE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011456",
"telephone_number": "434-973-1831",
"fax_number": "434-973-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 BERKMAR DR STE 1",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011456",
"telephone_number": "434-973-1831",
"fax_number": "434-973-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "GWENDOLYN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "PALAMARCHUK",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.