RUSSELL BALDWIN DO
NPI 1386491538
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Active since May 06, 2024PECOS Enrolled
102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Russell Baldwin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL BALDWIN DO (NPI 1386491538) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386491538
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRUSSELL BALDWINCredential: DO
Location Address102 E RAVINE RDKingsport, TN 37660-3814
Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600
Sole ProprietorNo
Enumeration DateMay 6, 2024
NPPES CertifiedMay 5, 2024
NPI 1386491538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
102 E RAVINE RD, Kingsport, TN 37660

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Russell Baldwin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Physical Therapist
102 E RAVINE RD
KINGSPORT, TN 37660
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Baldwin's NPI number?

The NPI number for Russell Baldwin is 1386491538. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Russell Baldwin located?

Russell Baldwin practices at 102 E Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 245-9600.

What is Russell Baldwin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Russell Baldwin enrolled in Medicare?

Yes. Russell Baldwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Baldwin was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.