MR. GERALD BALDWIN (NPI# 1902206071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902206071 |
| Entity Type | Individual |
| Full Name | MR. GERALD BALDWIN |
| Credential | PA-C |
| Practice Address |
7700 E Florentine Rd Prescott Valley AZ 86314-2245 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9284428710 |
| Mailing Telephone | 9287595987 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7033 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA60507644 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 376503 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 474 N Hwy 89, Chino Valley, AZ 86323 | 9286365680 | 9286365853 |
| Street Address |
7700 E FLORENTINE RD |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526222 | Michael G Macon | Surgery | 7700 E Florentine Rd, Bldg B, Ste 203, Prescott Valley, AZ 86314-2245 | 2005-05-23 |
| 1902235716 | Glenna Frances Montgomery | Registered Nurse | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2013-11-02 |
| 1316243447 | Megan Dawn Eppens | Nurse Practitioner | 7700 E Florentine Rd, Ste 101, Prescott Valley, AZ 86314-2245 | 2011-02-08 |
| 1760703623 | Kenny Khiem-huy Mai | Internal Medicine | 7700 E Florentine Rd, Bldg B, Ste. 101, Prescott Valley, AZ 86314-2245 | 2010-06-15 |
| 1033446893 | Nanci Margaret Fischer | Registered Nurse | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2009-11-14 |
| 1366691552 | Anil Kumar | Internal Medicine | 7700 E Florentine Rd, Bldg. B Ste. 206, Prescott Valley, AZ 86314-2245 | 2008-09-12 |
| 1356554539 | Suzette Fink Bryan | Emergency Medicine | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2007-05-07 |
| 1720147143 | Mitchell Paul Wright Jr. | Registered Nurse | 7700 E Florentine Rd, Yavapai Regional Medical Center, East Campus, Prescott Valley, AZ 86314-2245 | 2006-12-08 |
| 1386725208 | Klaus P Appel | Family Medicine | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2006-10-18 |
| 1871534487 | Yavapai Community Hospital Association | General Acute Care Hospital | 7700 E Florentine Rd, Prescott Valley, AZ 86314-2245 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540960 | Steffainy Jessie Hefley | Physician Assistant | 11025 N. Rowdy Bunch Pass, Prescott Valley, AZ 86315 | 2020-05-27 |
| 1588016356 | Lauren Rogers | Physician Assistant | 7875 E Florentine Rd Ste A, Prescott Valley, AZ 86314-2284 | 2016-07-05 |
| 1720015118 | Timothy J Meier | Physician Assistant | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2006-06-28 |
| 1730165176 | Gary Fulkerson | Physician Assistant | 3001 N Main St Ste 1c, Prescott Valley, AZ 86314-1215 | 2005-12-19 |
| 1184126831 | Nolan Marcos | Physician Assistant | 7600 E Florentine Rd Ste 201, Prescott Valley, AZ 86314-1295 | 2018-03-07 |
| 1861863334 | Kara Regehr | Physician Assistant | 3237 N Windsong Dr, Prescott Valley, AZ 86314-1222 | 2015-10-09 |
| 1700960325 | Jamie M Pearson | Physician Assistant | 3200 N Windsong Dr, Prescott Valley, AZ 86314-2255 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
| 1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
| 1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
| 1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
| 1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
| 1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
| 1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
| 1275148280 | Patricia Miriam Rus | Physician Assistant | 23615 N 105th Dr, Peoria, AZ 85383-1195 | 2020-09-15 |
| 1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
| 1043825367 | Lauren Elizabeth Fraijo | Physician Assistant | 13575 W Indian School Rd Ste 700, Litchfield Park, AZ 85340-4905 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.