JOHN D BALDEA (NPI# 1831246347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831246347 |
| Entity Type | Individual |
| Full Name | JOHN D BALDEA |
| Credential | MD |
| Practice Address |
1520 N Senate Ave Indianapolis IN 46202-2213 |
| Mailing Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179628893 |
| Practice Fax Number | 3179621048 |
| Mailing Telephone | 3179624942 |
| Mailing Fax Number | 3179624343 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01062702A | IN | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01062702A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200850470 | 05 |
| Street Address |
1520 N SENATE AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439566 | Shaun J Grannis | Family Medicine | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2005-06-30 |
| 1255940417 | Stacey Charles | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-07-23 |
| 1043838543 | Daniel Livera | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-07-10 |
| 1366064321 | Allison Suzanne Foley | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-05-13 |
| 1386265916 | Shawn Kenneth Chaung | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-05-06 |
| 1871113845 | Kayla Brubaker | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-04-20 |
| 1457971608 | Cho Mar Aung | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-04-17 |
| 1508486754 | Ariel Marie Dryden | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-04-17 |
| 1316566706 | Bennet Joseph Ladowski | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-04-15 |
| 1346869104 | James Thomas Barton | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558551382 | Jerry Edward Blythe | Family Medicine | 8045 Broadway St, Indianapolis, IN 46240-2502 | 2007-07-27 |
| 1316903511 | Kevin B. Gebke | Family Medicine | 1110 W Michigan St, Indianapolis, IN 46202-5209 | 2006-04-25 |
| 1558660464 | St. Vincent Physician Services Hospital and Health Care Center | Family Medicine | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2011-03-17 |
| 1578719365 | Joshua T Kluetz | Family Medicine | 8040 Clearvista Pkwy, Ste 440, Indianapolis, IN 46256-5630 | 2008-08-12 |
| 1104870989 | Todd W Arnold | Family Medicine | 201 Pennsylvania Pkwy, Ste 200, Indianapolis, IN 46280-1393 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962061135 | Central Indiana Orthopedics, PC | Family Medicine | 14300 E 138th Bldg B, Fishers, IN 46037-0087 | 2019-06-11 |
| 1104326909 | Orthopaedic Associates, Inc. | Family Medicine | 4011 Gateway Blvd Ste 100, Newburgh, IN 47630-8947 | 2018-02-19 |
| 1700231313 | Heather Saffel | Family Medicine | 111 W Jefferson Blvd Ste 100, South Bend, IN 46601-1993 | 2016-05-02 |
| 1922477686 | Orthopaedic Associates, Inc. | Family Medicine | 5828 Pearl Dr, Evansville, IN 47712-8116 | 2015-09-23 |
| 1295137925 | Ball State University | Family Medicine | Hp 260, Muncie, IN 47306-0001 | 2014-09-25 |
| 1992118822 | Zachary Conner Ritchie | Family Medicine | 301 Satori Pkwy Ste 120, Avon, IN 46123-6407 | 2014-06-09 |
| 1740692078 | Joel Jaeger | Family Medicine | 275 W Bassett Rd Ste 3, Shelbyville, IN 46176-8575 | 2014-05-21 |
| 1457652992 | Martha Ann Taylor | Family Medicine | 105 Hendron Hills Dr, Vincennes, IN 47591-3638 | 2010-11-16 |
| 1649598707 | Rajih Y Haddawi | Family Medicine | 2631 S Atlee St, Bloomington, IN 47401-4536 | 2010-05-12 |
| 1538300561 | Michael Robert Messmer | Family Medicine | 3221 Beacon Parkway, Granger, IN 46530 | 2009-03-21 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.