DR. ZACHARY KRIETE BALDWIN


Address: 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609
Phone: 6012002990

DR. ZACHARY KRIETE BALDWIN (NPI# 1487778239) 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) 1487778239
Entity Type Individual
Full Name DR. ZACHARY KRIETE BALDWIN
Credential M.D.
Practice Address 971 Lakeland Dr Ste 1250
Jackson
MS 39216-4609
Mailing Address Po Box 23666
Jackson
MS 39225-3666
Practice Telephone 6012002990
Practice Fax Number 6012005939
Mailing Telephone 6012004749
Mailing Fax Number 6012005929
Enumeration Date 2007-03-19
Last Update Date 2019-02-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery A76552 CA Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
20344 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 03053543 05
MS RAILROAD MEDICARE P00641839 01

Office Location

Street Address 971 LAKELAND DR STE 1250
City JACKSON
State MS
Zip Code 39216-4609

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013008242 John Adrian Lancon Neurological Surgery 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2006-09-26
1871097626 William Angus Rigby II Nurse Practitioner 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2018-03-19
1720497951 Kathleen Boyles Brewer Nurse Practitioner 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2014-08-13
1598043143 Bryan A. Gaspard Neurological Surgery 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2011-08-01
1699062208 Jennifer R Dinning Surgery 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2011-07-03
1518197151 Paul Benjamin Kerr Specialist 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2009-07-16
1285708958 Betty Ann Blasi Nurse Practitioner 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2006-11-17
1093888539 Michelle Vaughn Taylor Nurse Practitioner 971 Lakeland Dr Ste 1250, Jackson, MS 39216-4609 2006-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952557092 Medical Foundation of Central Mississippi, Inc Surgery 501 Marshall St Ste 100, Jackson, MS 39202-1687 2008-08-08
1174556377 Seshadri Raju, M.d., Pa. Surgery 971 Lakeland Dr Ste 401, Jackson, MS 39216 2006-07-09
1225575186 W.a. Foote Memorial Hospital, Inc Surgery 205 N. East Ave, Jackson, MI 49201 2017-01-30
1124565098 W.a. Foote Memorial Hospital, Inc Surgery 205 N. East Ave, Jackson, MI 49201 2017-01-30
1275893638 Derek Paul De Grijs Surgery 501 Marshall St Ste 104, Jackson, MS 39202-1663 2012-05-20
1184911612 Taimur Saleem Surgery 971 Lakeland Dr Ste 401, Jackson, MS 39216-4607 2011-07-05
1245545383 Danon Eugenio Garrido Montes De Oca Surgery 2500 N State St, Jackson, MS 39216-4500 2010-08-12
1194825323 Fred Wallace Rushton Jr. Surgery 2500 N State St, Jackson, MS 39216-4500 2006-09-25
1215960414 Seshadri Raju Surgery 971 Lakeland Dr, Suite 401, Jackson, MS 39216-4643 2006-07-09
1437135373 Anthony Bradley Boland Surgery 2500 N State St, Jackson, MS 39216-4500 2005-12-22
Find all providers in JACKSON

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City JACKSON
Zip Code 39216

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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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