EVAN D BALDWIN (NPI# 1730470113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730470113 |
Entity Type | Individual |
Full Name | EVAN D BALDWIN |
Credential | MD |
Practice Address |
1528 Five Points Rd Sw Albuquerque NM 87105-3179 |
Mailing Address |
Po Box 50279 Albuquerque NM 87181-0279 |
Practice Telephone | 5052426919 |
Enumeration Date | 2011-04-20 |
Last Update Date | 2015-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD2013-0772 | NM | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | MD2013-0772 | NM | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952924946 | Evan Benjamin Baldwin | Specialist/Technologist | 2200 Forest Ridge Pkwy, New Castle, IN 47362-2943 | 2020-05-25 |
Street Address |
1528 FIVE POINTS RD SW |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87105-3179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104040088 | Michael Wayne Giddings | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2007-04-12 |
1881207496 | Kevin Ryan Puckett I | Psychologist | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2020-08-25 |
1467061127 | Kenneth M. Wanya | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2020-07-29 |
1710445994 | Natalie Nicotine | Social Worker | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2019-03-07 |
1750850517 | Larissa Shantaa Miller | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-11-21 |
1417458738 | Richard Ibarra | Social Worker | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
1417458746 | Alexandria N Padilla | Social Worker | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
1427559772 | Theresa Ann Day | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
1689175911 | Michel Jean Mcqueen | Social Worker | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
1487015186 | Dixie Bingham IIi | Counselor | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2016-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
Find all providers in zip 87105 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609418144 | Pivot LLC | Family Medicine | 1620 Central Ave Se, Albuquerque, NM 87106-4411 | 2019-10-16 |
1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
1568478279 | Juliane Nichole Bohan | Family Medicine | 2600 Yale Blvd Se, Albuquerque, NM 87106-4217 | 2006-08-01 |
1043713415 | Southwest Recovery and Wellness LLC | Family Medicine | 3874 Masthead St Ne, Albuquerque, NM 87109-4479 | 2018-03-13 |
1205246667 | Recovery Services of Southern New Mexico LLC | Family Medicine | 1235 Wyoming Blvd Ne, Albuquerque, NM 87112-5044 | 2014-05-06 |
1124374004 | Julianne Austin | Family Medicine | 4201 Central Ave Nw, Suite K2, Albuquerque, NM 87105-1630 | 2012-07-30 |
1184952061 | Joan Cecile Voute | Family Medicine | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2009-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639690050 | Ideal Option, Pllc | Family Medicine | 2019 Galisteo St Ste H1, Santa Fe, NM 87505-2106 | 2017-07-06 |
1306285820 | Alt Recovery Group LLC | Family Medicine | 1141 Mall Dr, Suite E, Las Cruces, NM 88011-8194 | 2013-06-18 |
City | ALBUQUERQUE |
Zip Code | 87105 |
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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.