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MR. JONATHAN ROBERT BALTZELL PA-C NPI 1457350258


NPI Information

NPI: 1457350258
Provider Name: MR. JONATHAN ROBERT BALTZELL, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
10210 COULOAK DR
SUITE E
CHARLOTTE, NC
ZIP 28216
Phone: (704) 801-2000
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MR. Jonathan Robert Baltzell, PA-C is a physician assistant in Charlotte, NC. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Jonathan Robert Baltzell, PA-C NPI is 1457350258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10210 COULOAK DR
SUITE E
CHARLOTTE, NC
ZIP 28216-679
Phone: (704) 801-2000
Fax: (704) 801-2001

The enumeration date for this NPI number is 7/14/2005 and was last updated on 4/1/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant102359NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12747011COTHERNORTH CAROLINAMEDICARE PTAN
20397730004MEDICARE NSCNORTH CAROLINA
3NC6291FMEDICARE PINNORTH CAROLINA
4NC6291HMEDICARE PINNORTH CAROLINA
5NC6291JMEDICARE PINNORTH CAROLINA
6NC6291GMEDICARE PINNORTH CAROLINA
7NC6291KMEDICARE PINNORTH CAROLINA
8NC6291MMEDICARE PINNORTH CAROLINA
9NC6291NMEDICARE PINNORTH CAROLINA
102747011BMEDICARE PINNORTH CAROLINA
11S693156191MEDICARE PINSOUTH CAROLINA
128101948MEDICAIDNORTH CAROLINA
13NC6291BMEDICARE PINNORTH CAROLINA
14NC6291CMEDICARE PINNORTH CAROLINA
15NC6291OMEDICARE PINNORTH CAROLINA
16NC6291EMEDICARE PINNORTH CAROLINA
17NC6291AMEDICARE PINNORTH CAROLINA
18S69315MEDICARE PINSOUTH CAROLINA
191457350258MEDICAIDNORTH CAROLINA
20NC6291DMEDICARE PINNORTH CAROLINA
21NC6291LMEDICARE PINNORTH CAROLINA

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: 4/28/2024

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.