Provider Demographics
NPI:1316038516
Name:BALDWIN, ROBERT MARCUS (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARCUS
Last Name:BALDWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 NORWICH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1486
Mailing Address - Country:US
Mailing Address - Phone:614-876-0612
Mailing Address - Fax:614-876-0716
Practice Address - Street 1:5123 NORWICH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1486
Practice Address - Country:US
Practice Address - Phone:614-876-0612
Practice Address - Fax:614-876-0716
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350292000207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0185222Medicaid
OH000000117601OtherANTHEM
OH0185222Medicaid
OH000000117601OtherANTHEM