Individual provider Active NPI

Stephanie C Baldwin, DPM

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1922058700
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 1557 Issued in FL
Practice address
1706 E Bearss Ave
Tampa, FL 33613-2451
Phone
(813) 972-4300
Fax
(813) 972-4180
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 1557 FL Primary

Addresses

Primary practice location

1706 E Bearss Ave
Tampa, FL 33613-2451

Mailing address

1706 E Bearss Ave
Tampa, FL 33613-2451
Phone (813) 972-4300

Other identifiers 1

IdentifierTypeStateIssuer
041413100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 1557FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michal Waldman DPM PA Podiatrist CurrentSince Aug 1, 2017 Accepting new patients

Locations

1706 E Bearss Ave
Tampa, FL 33613
Phone (813) 972-4300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1922058700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132451",
            "telephone_number": "813-972-4300",
            "fax_number": "813-972-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132451",
            "telephone_number": "813-972-4300",
            "fax_number": "813-972-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041413100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.