Active NPI
E Lawney Baldwin, CRNA
- Certified Registered Nurse Anesthetist
- Erwin, TN
National Provider Identifier
1699753863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN0000109704
- Practice address
- 100 Greenway Cir
Erwin, TN 37650-2177 - Phone
- (423) 743-3141
- NPI assigned
- Jan 6, 2006
- Last updated
- Dec 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000010085 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN0000109704 | TN | Primary |
Addresses
Primary practice location
100 Greenway Cir
Erwin, TN 37650-2177
Mailing address
100 Greenway Cir
Erwin, TN 37650-2177
Phone (423) 743-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36258931 | Medicaid | TN |
Other names 1
- Mr. Erroll Lawney Baldwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10085 | TN | MD | Social Worker |
| APN0000010085 | TN | MD | Nurse Practitioner |
| RN0000109704 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsport TN Ophthalmology ASC LLC | Current | Accepting new patients | |
| American Anesthesiology Group of Tennessee, P. C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
999 Executive Park Blvd
Ste 100
Kingsport, TN 37660
Phone (423) 247-2022
Organizations & group practices 2
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.
-
dba The Regional Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Kingsport, TN
- NPI 1649244211
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1699753863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENWAY CIR",
"city": "ERWIN",
"state": "TN",
"postal_code": "376502177",
"telephone_number": "423-743-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GREENWAY CIR",
"city": "ERWIN",
"state": "TN",
"postal_code": "376502177",
"telephone_number": "423-743-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "E",
"middle_name": "LAWNEY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000010085",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN0000109704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36258931",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERROLL",
"last_name": "BALDWIN",
"middle_name": "LAWNEY",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Erwin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.