Allison Carolyn Baldwin, ATC, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003813A Issued in IN

Practice address

8240 Naab Rd Ste 416
Indianapolis, IN 46260-0012

Phone

(317) 306-5588

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Allison Carolyn Prew Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Magnificat Family Medicine, LLC

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1427448729
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1811375892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 EAGLES WATCH LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462549531",
            "telephone_number": "608-417-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 NAAB RD STE 416",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462600012",
            "telephone_number": "317-306-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "ALLISON",
        "middle_name": "CAROLYN",
        "credential": "ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003813A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "PREW",
            "middle_name": "CAROLYN",
            "credential": "ATC, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Balch, LMHC
• Macy Balcom
• Makenzi Balde
• John D Baldea, MD
• Kara Baldridge
• Ashley Baldwin, DPT
• Hayden Michael Baldwin
• Kimberly Sue Baldwin, RPH
• Lynn Baldwin
• Melissa Baldwin

• Physician Assistant in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.