Individual provider Active NPI

Tanya R. Baldwin, MD

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1831187772
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35079847 Issued in OH
Practice address
1020 Varland Ave
Toledo, OH 43605-3245
Phone
(419) 696-1515
NPI assigned
Oct 13, 2005
Last updated
Jun 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35079847 OH Primary

Addresses

Primary practice location

1020 Varland Ave
Toledo, OH 43605-3245

Mailing address

2200 Jefferson Ave
4TH Floor
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
2269012MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20091103000218 OH Practitioner - Family Practice 7113064601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

3851 Navarre Ave
Suite 200
Oregon, OH 43616-3671
Phone (419) 696-8255

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079847OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Sep 1, 2009 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Anglo American Investments Product Advisors, Inc Past Accepting new patients
Mercy Health System Northern Past Accepting new patients

Locations

3851 Navarre Ave
Ste 200
Oregon, OH 43616
Phone (419) 691-6781

1020 Varland Ave
Toledo, OH 43605
Phone (419) 691-1429

1500 N Superior St
Ste 310
Toledo, OH 43604
Phone (419) 729-6041

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • Direct secure messaging: tbaldwin26972@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1831187772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VARLAND AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436053245",
            "telephone_number": "419-696-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "TANYA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269012",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.