Cathy Baldwin-Johnson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1999 Issued in AK

Practice address

3925 Tudor Centre Dr Ste 100
Anchorage, AK 99508-5931

Phone

(907) 561-8301

Fax

(907) 561-8170

NPI assigned

Jul 30, 2006

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbaldwinjohnson6638@ak.providencedirect.org

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.

• Providence Health & Services - Washington

  dba Providence Matanuska Health Care

  • Family Medicine Physician
  • Palmer, AK
  • NPI 1093720534
  NPD
• Providence Health & Services Washington

  dba Providence Alaska Medical Center

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1467547265
  NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1780699264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 TUDOR CENTRE DR STE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085931",
            "telephone_number": "907-561-8301",
            "fax_number": "907-561-8170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Woodworth Loop",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457412",
            "country_code": "US",
            "telephone_number": "907-761-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALDWIN-JOHNSON",
        "first_name": "CATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010986",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbaldwinjohnson6638@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3925 Tudor Centre Dr Ste 100",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995085931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krzysztof W Balaban, M.D.
• Balanced Bodyworks
• Balanced Health Chiropractic LLC
• Isabella Balas
• Aimee Michele Baldree
• Athena Bevette Baldwin, PA-C
• Charles Ross Baldwin, M.D.
• Cooper A Baldwin, LCSW
• Donna Lynne Baldwin, LMT
• Margaret Ann Baldwin, CNM

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.