MEDICARE: SCOTT WILLIAMS BALDWIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A95409	CA
2	2086X0206X	Surgical Oncology Physician	A95409	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710035738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT WILLIAMS BALDWIN MD

Provider Business Mailing Address
First Line	:	PO BOX 321273
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-0121
Country	:	US
Telephone Number	:	408-358-1855
Fax Number	:	408-628-0153

Provider Business Practice Location Address
First Line	:	2450 SAMARITAN DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-3912
Country	:	US
Telephone Number	:	408-358-1855
Fax Number	:	408-628-0153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	11/29/2021

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