Kimberly M. Baldock MD PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

30472 Issued in KY

Legal business name

KIMBERLY M. BALDOCK MD PSC

Practice address

1816 Carter Ave
Ashland, KY 41101-7643

Phone

(606) 920-9595

NPI assigned

Nov 26, 2007

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Baldock, MDNPI 1144225657

Title

Ceo

Phone

(606) 920-9595

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Baldock, MD

  • Internal Medicine Physician
  • Ashland, KY
  • NPI 1144225657
  Authorized official Same address or phone

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1942481577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017643",
            "telephone_number": "606-920-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017643",
            "telephone_number": "606-920-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M. BALDOCK MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-920-9595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "30472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000689129",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64304728",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alka Uppal Khanna, M.D.
• Ashok K Khanna, MD
• Ola Khraisha, M.D.
• Shawna Kidd
• Amanda Darlene Kidwell, OTR/L
• Megan Marie Kincaid, PSYD, LP
• Diana Sue King, ARNP
• Holly King
• Malcolm A King, M.D.P.S.C.
• Malcolm H King, M.D.P.S.C.

• Specialist in Ashland, KY
• Providers in Ashland, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.