Michael Roy Baldwin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28077464A Issued in IN

Practice address

315 Eastwood Dr
Plymouth, IN 46563-7950

Phone

(574) 361-5857

NPI assigned

Sep 20, 2006

Last updated

Aug 12, 2013By 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 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Northstar Anesthesia of Indiana II, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1629475421

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Community Hospital of Bremen, Inc

  • Critical Access Hospital
  • Bremen, IN
  • NPI 1568417004
  NPD
• Goshen Anesthesiology LLC

  • Specialist
  • Goshen, IN
  • NPI 1528014362
  NPD (past)
• Premier Anesthesia of Indiana PC

  • Anesthesiology Physician
  • Danville, IN
  • NPI 1982908737
  NPD (past)
• Amsol Anesthetists of Ohio, LLC

  • Certified Registered Nurse Anesthetist
  • Fairfield, OH
  • NPI 1487991451

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Associated Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1558306480
  NPD (past)
• Children's Anesthesia Group Inc

  • Pediatric Anesthesiology Physician
  • Dayton, OH
  • NPI 1932397544

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Pediatric Anesthesia Associates of Dayton, Inc.

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1447217096
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1629176169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EASTWOOD DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637950",
            "telephone_number": "574-361-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 EASTWOOD DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465637950",
            "telephone_number": "574-361-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MICHAEL",
        "middle_name": "ROY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-001985",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28077464A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "168609 REGISTRY#4405",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704251112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000519814",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200373090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Badell, DDS
• Kelly E Bain-Conkin, MS, LMHC
• Brian S Baird, OD PC
• Rebecca M. Baker-Palmer, MD
• Janice Ann Baldwin, CNM
• Stephen J Barber, LCSW, LCAC, CADAC II
• Scott Kelley Barger, MSW
• Carlos Bastardo
• Beacon Medical Group, Inc. (Beacon Medical Group Specialists Plymouth)
• Sally Beazlie-Walker, D.O

• Certified Registered Nurse Anesthetist in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.