MRS. TAMARA K BALDWIN


Address: 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829
Phone: 9524966700

MRS. TAMARA K BALDWIN (NPI# 1730439688) 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) 1730439688
Entity Type Individual
Full Name MRS. TAMARA K BALDWIN
Credential PA-C
Practice Address 4201 Dean Lakes Blvd
Shakopee
MN 55379-2829
Mailing Address 14942 Creditview Dr
Savage
MN 55378-5604
Practice Telephone 9524966700
Mailing Telephone 9522102188
Enumeration Date 2012-09-18
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
11199 MN Physician Assistants & Advanced Practice Nursing Providers

Other Providers TAMARA BALDWIN

NPI Name Taxonomy Address Enumeration
1245506484 Tamara Lee Baldwin Registered Nurse 14600 Nw Cornell Rd, Portland, OR 97229 2012-03-30
1124395991 Tamara Leigh Baldwin Nurse Practitioner 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2011-11-22
1518942937 Tamara A Baldwin Nurse Practitioner 301 E Saint Joseph St, Green Bay, WI 54301-2241 2005-12-08

Office Location

Street Address 4201 DEAN LAKES BLVD
City SHAKOPEE
State MN
Zip Code 55379-2829

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740382274 Edina Eye Physicians and Surgeons Pa Optometrist 4201 Dean Lakes Blvd, Suite 100, Shakopee, MN 55379-2829 2006-09-04
1730787375 Mary Kay Yozamp Behavior Technician 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-10-15
1336747468 Shawna Johnson Technician, Other 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-10-12
1265039531 Robb Luther Hawkinson Behavior Technician 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-10-08
1104430255 Harley Jean Brake Walker Behavior Technician 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-09-05
1639783228 Grace Lee Technician, Other 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-09-01
1932710514 Taylor Donart Technician, Other 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-08-16
1629696752 Disha Japa Technician, Other 4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 2020-07-06
1174758908 Liza Antoinette Jain Phu Family Medicine 4201 Dean Lakes Blvd, #120, Shakopee, MN 55379-2829 2009-05-22
1730308792 Shakopee Dental P.l.l.c. Dentist 4201 Dean Lakes Blvd, Suite 110, Shakopee, MN 55379-2829 2007-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073123030 True North Community Dental Clinic, LLC Dentist 415 East First Avenue, Shakopee, MN 55379 2020-08-05
1154988236 Benedictine Living Community of Shakopee LLC Assisted Living Facility 1705 Windermere Way, Shakopee, MN 55379 2019-05-23
1346741394 Expressions In Motion LLC Speech-Language Pathologist 1221 East 4th Ave., Shakopee, MN 55379 2018-02-26
1124529334 A.m Dental Professionals P.a Clinic/Center 1036 1st Ave E, Shakopee, MN 55379 2018-02-22
1538522024 Jesse Sylvester Chiropractor 1275 Ramsey Street South, #600, Shakopee, MN 55379 2016-04-01
1376903963 Dakota Best Transportation LLC Non-emergency Medical Transport (VAN) 449 Dakota Street Apt 2, Shakopee, MN 55379 2016-02-25
1568856631 Tatyana Mishkin Gleyzer Nurse Practitioner 1010 West Sixth Avenue, Shakopee, MN 55379 2015-03-26
1245634039 Kalli Ledel Pharmacist 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 2014-10-22
1487992913 Jennifer Elizabeth Boyd Nurse Practitioner Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 2013-01-17
1013253798 Acts Therapy LLC Counselor 8170 Old Carriage Court North, 215, Shakopee, MN 55379 2012-12-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982919718 Kathryn Nicole Kuske Physician Assistant 1415 Saint Francis Ave, Shakopee, MN 55379-3374 2010-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255969150 Isaac Waalen Physician Assistant 5420 Circle Down, Minneapolis, MN 55416-1312 2020-03-28
1730643701 Christina Jones Physician Assistant 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 2019-01-24
1114492964 Molly Goss Physician Assistant 1817 Sunset Dr, Northfield, MN 55057-3246 2018-10-09
1932600160 Ellen Kathryn Freeman Physician Assistant 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 2018-02-22
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1457893984 Daniel Ryan Nguyen Physician Assistant 14551 Co Rd #11 #100, Burnsville, MN 55337 2016-11-15
1538545686 Kathryn Jelle Physician Assistant 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 2015-07-30
1831503267 Karrah Oliver Physician Assistant 205 Roosevelt Ave W, Karlstad, MN 56732-4022 2014-06-13
1477981777 Melissa Ferraz De Toledo Physician Assistant 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 2013-10-23
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Competitor

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City SHAKOPEE
Zip Code 55379

Improve Information

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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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