MICHAEL J BALDECK, DO, PLLC (NPI# 1508808049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508808049 |
| Entity Type | Organization |
| Organization Name | MICHAEL J BALDECK, DO, PLLC |
| Practice Address |
307 Saint Johns Way Suite 4 Lewiston ID 83501-2435 |
| Practice Telephone | 2087984818 |
| Practice Fax Number | 2087988711 |
| Mailing Telephone | 2087984818 |
| Mailing Fax Number | 2087988711 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL J BALDECK (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 2087984814 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0-185 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
307 SAINT JOHNS WAY SUITE 4 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762823 | Nina J Woods | Counselor | 307 Saint Johns Way, Suite 3, Lewiston, ID 83501-2435 | 2005-10-03 |
| 1912217316 | Ingrid Starr Blinn | Counselor | 307 Saint Johns Way, Suite 3, Lewiston, ID 83501-2435 | 2010-10-19 |
| 1376853127 | St. Joseph Regional Medical Center | Orthopaedic Surgery | 307 Saint Johns Way, Lewiston, ID 83501-2435 | 2010-10-14 |
| 1801945308 | Orie E Kaltenbaugh, M.d. | Orthopaedic Surgery | 307 Saint Johns Way, Lewiston, ID 83501-2435 | 2007-01-10 |
| 1306917000 | Medical Surgical Group Inc | Clinic/Center | 307 Saint Johns Way, Suite 6, Lewiston, ID 83501-2435 | 2006-11-13 |
| 1124135165 | Confluence Sleep & Pulmonary LLC | Internal Medicine | 307 Saint Johns Way, Suite 16, Lewiston, ID 83501-2435 | 2006-08-24 |
| 1801902515 | Carlos William Bond | Family Medicine | 307 Saint Johns Way, Suite 7, Lewiston, ID 83501-2435 | 2006-08-23 |
| 1841306339 | Gary Marvin Thorne | Specialist | 307 Saint Johns Way, Suite 5, Lewiston, ID 83501-2435 | 2006-08-21 |
| 1912929928 | James B Fisher | Internal Medicine | 307 Saint Johns Way, Suite 17, Lewiston, ID 83501-2435 | 2006-07-25 |
| 1801831151 | Daniel Brodie Mcintosh | Internal Medicine | 307 Saint Johns Way, Ste #9, Lewiston, ID 83501-2435 | 2006-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336433085 | Jacob Emerson Crothers | Family Medicine | Bates Mill No. 6, 70 Lincoln Street, 3rd Floor, Lewiston, ME 04240 | 2011-05-30 |
| 1922334523 | Michael Joseph Ragusa | Family Medicine | 941 Escarpment Dr, Lewiston, NY 14092-2021 | 2009-11-02 |
| 1992843015 | Manuel Gonzales Sangalang | Family Medicine | 111 Webster St, Suite #4, Lewiston, ME 04240-6464 | 2007-02-01 |
| 1558452268 | Clearwater Medical Center Pllc | Family Medicine | 1522 17th St, Lewiston, ID 83501-3652 | 2006-09-27 |
| 1649295866 | Christopher J Iacobelli | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2006-07-12 |
| 1346273885 | Debra M Omiatek | Family Medicine | 265 Portage Rd, Lewiston, NY 14092-1710 | 2006-07-08 |
| 1407885213 | Jeffrey S. Michaud | Family Medicine | 15 Mollison Way, Suite 301, Lewiston, ME 04240-5805 | 2006-07-02 |
| 1851337554 | Robert J Lotstein | Family Medicine | 332 5th St, Lewiston, ID 83501-2419 | 2006-06-21 |
| 1164477568 | Community Clinical Services, Inc. | Family Medicine | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2006-05-23 |
| 1619967361 | Alice C. Haines | Family Medicine | 60 Pine St, Suite One, Lewiston, ME 04240-7214 | 2005-10-25 |
| Find all providers in LEWISTON | ||||
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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.