Healthcare Provider Details

I. General information

NPI: 1437589280
Provider Name (Legal Business Name): DAVID ANTHONY BALDWIN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MILLERS RUN RD
BRIDGEVILLE PA
15017-1348
US

IV. Provider business mailing address

1 MEDICAL CENTER DR
MORGANTOWN WV
26506-1200
US

V. Phone/Fax

Practice location:
  • Phone: 412-530-4519
  • Fax:
Mailing address:
  • Phone: 304-293-9315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number01726
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: