Individual
DR. JOSEPH M. BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 NEW HOPE RD, PRINCETON, WV 24740-2136
(304) 425-1960
(304) 425-9988
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101237252
VA
2085R0001X
Radiation Oncology Physician
Primary
24688
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058965
OPTIMA HEALTH PLAN
VA
05
—
1609816214
—
VA
05
—
3810022555
—
WV
01
—
403901
ANTHEM BC/BS EVMS HEALTH SERVICES
VA
01
—
403902
ANTHEM BC/BS EVMS HEALTH SERVICES
VA
05
—
5914565
—
NC
01
—
9303191
AETNA
WV
01
—
P01001412
RAILROAD MEDICARE
WV
01
—
P01060034
RAILROAD MEDICARE - WVRTSI
WV
01
—
PAR
UNITED HEALTH CARE/MAMSI
VA
01
—
WV24688
THE HEALTH PLAN OF THE UPPER OHIO VALLEY
WV
Enumeration date
06/08/2006
Last updated
09/12/2013
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