KITTREDGE ALEXANDER BALDWIN (NPI# 1285683516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285683516 |
| Entity Type | Individual |
| Full Name | KITTREDGE ALEXANDER BALDWIN |
| Credential | D.O. |
| Practice Address |
2011 Nw Myhre Pl Silverdale WA 98383-8561 |
| Mailing Address |
9621 Ridgetop Blvd Nw Silverdale WA 98383-8502 |
| Practice Telephone | 3608301600 |
| Practice Fax Number | 3607823689 |
| Mailing Telephone | 3608301706 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OP00001740 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
OP00001740 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
OP00001740 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BB5456353 | 01 | |
| AETNA | 7352369 | 01 | |
| REGENCE BLUESHIELD | 9617BA | 01 | |
| WA | LABOR & INDUSTRIES | 158446 | 01 |
| RAILROAD MEDICARE | 290014550 | 01 | |
| WA | 8297046 | 05 |
| Street Address |
2011 NW MYHRE PL |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199961 | William Michael Hall | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2006-01-24 |
| 1710432612 | Franciscan Medical Group | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2016-08-20 |
| 1972956472 | Tarandeep Singh Chahal | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2016-07-20 |
| 1285049965 | Peter G. Wilcox | Nurse Practitioner | 2011 Nw Myhre Pl, Silverdale, WA 98383 | 2014-06-21 |
| 1376973909 | Gretchen Ta | Nurse Practitioner | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2013-11-18 |
| 1467682799 | Vivek Agarwal | Allergy & Immunology | 2011 Nw Myhre Pl, Silverdale, WA 98383 | 2009-07-21 |
| 1619104924 | Eric T Lee | Internal Medicine | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2009-06-12 |
| 1801047790 | The Doctors Clinic A Professional Corporation | Clinic/Center | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2008-10-09 |
| 1528271467 | Susan Lynn Cucciardi | Massage Therapist | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2007-05-07 |
| 1366574501 | Jenifer Lee Henderson | Plastic Surgery | 2011 Nw Myhre Pl, Silverdale, WA 98383-8561 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437457090 | Jerome Emile Carbone | Internal Medicine | 7318 Nw Ioka Dr, Silverdale, WA 98383-7359 | 2011-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.