Provider Demographics
NPI:1215934914
Name:BALDI, DANIEL JAMES (DO)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAMES
Last Name:BALDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5901 WESTOWN PKWY
Mailing Address - Street 2:STE 210
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8297
Mailing Address - Country:US
Mailing Address - Phone:515-263-2611
Mailing Address - Fax:515-263-2612
Practice Address - Street 1:5901 WESTOWN PKWY
Practice Address - Street 2:STE 210
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8297
Practice Address - Country:US
Practice Address - Phone:515-263-2611
Practice Address - Fax:515-263-2612
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2785207L00000X, 207LA0401X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1215934914Medicaid
IA719260461Medicare PIN
IAF60988Medicare UPIN
IA1215934914Medicaid