MR. ANTHONY EUGENE BALDACCI


Address: 1836 Meade Street, North Bend, OR 97459
Phone: 5418080430

MR. ANTHONY EUGENE BALDACCI (NPI# 1902080013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902080013
Entity Type Individual
Full Name MR. ANTHONY EUGENE BALDACCI
Other Name TONY BALDACCI
Credential M.S.N., ANP
Practice Address 1836 Meade Street
North Bend
OR 97459
Practice Telephone 5418080430
Mailing Telephone 5418080430
Enumeration Date 2007-12-26
Last Update Date 2014-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 200742895RN OR Nursing Service Providers
N 163W00000X Registered Nurse 648845 CA Nursing Service Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
18025 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
200850023NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA MB1738888 01
OR 213342 05
OR CLINIC GROUP NPI 1619915113 01
PTAN R120353 01

Office Location

Street Address 1836 MEADE STREET
City NORTH BEND
State OR
Zip Code 97459

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568002749 Ya-chi Claire Chang Nurse Practitioner 1229 1890 Waite St #1, North Bend, OR 97459 2020-01-15
1629573977 Heather M Coates Counselor 400 Virginia Ave Ste 100, North Bend, OR 97459 2018-03-28
1205257219 Melissa Sperry Health Educator 510 Lockhart Street, North Bend, OR 97459 2013-12-17
1265862627 Elizabeth Sylvester Counselor 1592 Monroe Street, North Bend, OR 97459 2013-11-22
1124370291 Brian Noble Thompson Pharmacist 3411 Broadway St., North Bend, OR 97459 2012-10-12
1295081230 Walgreen Co Durable Medical Equipment & Medical Supplies 3411 Broadway St, North Bend, OR 97459 2012-07-27
1366728370 Melissa Jean Kovach Occupational Therapy Assistant 3959 Sheridan Ave., North Bend, OR 97459 2011-10-24
1295045052 Mary Kay Weikel Massage Therapist 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 2010-10-14
1952595340 Inland Point Senior Estates Jv LLC Clinic/Center 2265 Inland Drive, North Bend, OR 97459 2007-08-29
1558486209 Challis Annette Casebolt Nurse Practitioner 1975 Mcpherson, #1, North Bend, OR 97459 2007-03-20
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1184257115 Joanna Rae Farrell Nurse Practitioner 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 2020-02-18
1790241065 Autumn D Mercer Agnp-c LLC Nurse Practitioner 1075 Shayla Ln, Central Point, OR 97502-2995 2019-02-12
1023590841 Healthy At Home LLC Nurse Practitioner 3910 Ne 99th Ave, Portland, OR 97220-3620 2018-08-29
1437648946 Stephanie Michele Johnson Nurse Practitioner 3560 Se 79th Ave, Portland, OR 97206-2372 2018-05-09
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
1003275843 Catherine Chiaradonna Nurse Practitioner 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 2016-02-22
1801266119 Daniel Dominic Eric Roa Nurse Practitioner 5316 N Greeley Ave, Portland, OR 97217-4113 2015-09-29
1538578067 Karen Lee Warren Nurse Practitioner 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 2014-08-08
1245579408 Derek Brent Kordenbrock Nurse Practitioner 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 2013-02-07
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Competitor

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City NORTH BEND
Zip Code 97459

Improve Information

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Dataset Information

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.

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