Individual
MICHAEL SCOTT BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-1040
(207) 810-2412
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4067
(207) 563-1040
(207) 810-2412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001130
VA
363A00000X
Physician Assistant
59642
CA
363A00000X
Physician Assistant
PA439
ME
363AS0400X
Surgical Physician Assistant
Primary
PA439
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013016096
—
VA
01
—
C06695
GROUP PTAN
VA
01
—
C06778
GROUP PTAN
VA
01
—
P00615740
RAILROAD MEDICARE
VA
Enumeration date
09/22/2006
Last updated
07/29/2025
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