Healthcare Provider Details

I. General information

NPI: 1811964471
Provider Name (Legal Business Name): THOMAS MICHAEL BALDWIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 OLD PADONIA RD STE 302
COCKEYSVILLE MD
21030-4948
US

IV. Provider business mailing address

110 OLD PADONIA RD STE 201
COCKEYSVILLE MD
21030-4949
US

V. Phone/Fax

Practice location:
  • Phone: 410-433-4300
  • Fax:
Mailing address:
  • Phone: 410-433-4300
  • Fax: 410-825-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101258537
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberD0106118
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number19076
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: