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KEITH DOUGLAS BALDERSTON MD NPI 1871525337


NPI Information

NPI: 1871525337
Provider Name: KEITH DOUGLAS BALDERSTON, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

PECOS Registration: Yes

Address:
3355 RIVERBEND DR
STE 210
SPRINGFIELD, OR
ZIP 97477
Phone: (541) 485-2777
Get Directions

Keith Douglas Balderston, MD is a maternal and fetal medicine obstetrics gynecology in Springfield, OR with 32 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. Keith Douglas Balderston, MD NPI is 1871525337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

3355 RIVERBEND DR
STE 210
SPRINGFIELD, OR
ZIP 97477-800
Phone: (541) 485-2777
Fax: (541) 246-2353

The NPI 1871525337 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineMD18230OREGONNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineM-13818IDAHONo
3207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineMD60748459WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1067731MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.