Provider Demographics
NPI:1376763144
Name:BAISDEN, APRIL MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MICHELE
Last Name:BAISDEN
Suffix:
Gender:F
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:P.O. BOX 1680
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25717-1680
Mailing Address - Country:US
Mailing Address - Phone:304-897-1396
Mailing Address - Fax:307-697-2086
Practice Address - Street 1:97 GREAT TEAYS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9816
Practice Address - Country:US
Practice Address - Phone:304-757-6999
Practice Address - Fax:304-201-5019
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23177207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVWV2535DMedicaid
WV3810013938Medicaid
WV001709560OtherMT. STATE
WVWV2535G059Medicaid
OH2959973Medicaid
WV002093022OtherMT. STATE
KY7100078430Medicaid
WVWV2535EMedicaid
OH2959973Medicaid
WVWV2535C197Medicare PIN
WVWV2535AMedicare PIN
WV2031974Medicare PIN