Individual
JAMES D BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SALEM ST, LAFAYETTE, IN 47904-2164
(765) 448-8000
(765) 448-8684
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01055879A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219002
ANTHEM PROVIDER NUMBER
IN
01
—
11319861
CAQH NUMBER
IN
01
—
170442
PHCS PID NUMBER
IN
05
—
200370170
—
IN
Enumeration date
03/14/2006
Last updated
01/23/2008
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