LYNETTE BALTAS (NPI# 1710955869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710955869 |
Entity Type | Individual |
Full Name | LYNETTE BALTAS |
Credential | PA-C |
Practice Address |
7901 Diley Rd Ste 260 Canal Winchester OH 43110-9613 |
Practice Telephone | 6149201000 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.003312 | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00046 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 01903811 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4770 Amoco Dr, Moss Point, MS 395639627 | 2284749511 | 2284752809 |
Street Address |
7901 DILEY RD STE 260 |
City | CANAL WINCHESTER |
State | OH |
Zip Code | 43110-9613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144845710 | Nicole Huber | Physician Assistant | 7901 Diley Rd Ste 260, Canal Winchester, OH 43110-9613 | 2020-06-10 |
1609332782 | Grant Williams Trimble | Internal Medicine | 7901 Diley Rd Ste 260, Canal Winchester, OH 43110-9613 | 2019-02-14 |
1225548563 | Kari Rene Davidson | Nurse Practitioner | 7901 Diley Rd Ste 260, Canal Winchester, OH 43110-9613 | 2017-09-30 |
1063546828 | Paul J Schorr | Physician Assistant | 7901 Diley Rd Ste 260, Canal Winchester, OH 43110-9613 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659880219 | Edina Kaswoswe | Licensed Practical Nurse | 8928 Shady Woods Street, Canal Winchester, OH 43110 | 2017-09-27 |
1396268686 | Pristine Home Health Care LLC | Registered Nurse | 5571 Lehman Meadows Dr, Canal Winchester, OH 43110 | 2017-07-19 |
1982155313 | Dreama Boon | Home Health Aide | 5838 Canal Bridge Dr, Canal Winchester, OH 43110 | 2016-10-20 |
1356700736 | Kimberly Saunders | Social Worker | 4106 Coble Bowman Way, Canal Winchester, OH 43110 | 2016-02-15 |
1003207184 | Hearts In The Home | Home Health | 20 Fairfield Street, Canal Winchester, OH 43110 | 2015-02-11 |
1548660236 | Ashley Milligan | Specialist/Technologist | 4420 Sitterly Rd, Canal Winchester, OH 43110 | 2014-08-29 |
1215294442 | Francine E Ela | Registered Nurse | 7083 Weurful Drive, Canal Winchester, OH 43110 | 2012-04-12 |
1205102860 | Jonquil Natasha Currie | Licensed Practical Nurse | 3944 Blueglade Dr, Canal Winchester, OH 43110 | 2012-03-28 |
1942575543 | On Point Home Health Agency | Home Health | 4301 Bowman Park Ln, Canal Winchester, OH 43110 | 2012-03-14 |
1669769808 | Michelle Lynn Mayfield | Licensed Practical Nurse | 7441 Ida Way, Canal Winchester, OH 43110 | 2011-07-08 |
Find all providers in zip 43110 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750630414 | Susan Ann Whitt | Physician Assistant | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9612 | 2012-09-09 |
1063546828 | Paul J Schorr | Physician Assistant | 7901 Diley Rd Ste 260, Canal Winchester, OH 43110-9613 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
Find all providers with the same taxonomy |
City | CANAL WINCHESTER |
Zip Code | 43110 |
Please comment or provide details below to improve the information on LYNETTE BALTAS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.