TRACY C BALTZ (NPI# 1881679033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881679033 |
| Entity Type | Individual |
| Full Name | TRACY C BALTZ |
| Credential | MD |
| Practice Address |
201 Executive Ct Suite A Little Rock AR 72205-4536 |
| Practice Telephone | 5012245658 |
| Practice Fax Number | 5012248114 |
| Mailing Telephone | 5012245658 |
| Mailing Fax Number | 5012248114 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | E1801 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 145620001 | 05 |
| Street Address |
201 EXECUTIVE CT SUITE A |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588184 | Ernest C Clifton | Ophthalmology | 201 Executive Ct, Ste A, Little Rock, AR 72205-4536 | 2005-12-09 |
| 1780007427 | Julianne Koch | Optometrist | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 | 2014-01-31 |
| 1295989697 | Richard Grant Morshedi | Ophthalmology | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 | 2008-11-11 |
| 1154522407 | Christian Cardell Hester | Ophthalmology | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 | 2007-05-31 |
| 1770660748 | Monica C Hall | Ophthalmology | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 | 2006-11-01 |
| 1982689139 | Michael C Roberson | Ophthalmology | 201 Executive Ct, Suite A, Little Rock, AR 72205-4536 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362397 | Lieblong Eye Center | Ophthalmology | 123 North Van Buren Street, Little Rock, AR 72205 | 2013-09-09 |
| 1871810606 | Jennifer Ileen Doyle | Ophthalmology | 201 Executive Ct A, Little Rock, AR 72205-4536 | 2010-05-04 |
| 1427215623 | Justin Lieblong | Ophthalmology | 123 North Van Buren, Little Rock, AR 72205 | 2008-05-16 |
| 1093988404 | Retina Specialists of Arkansas, P.a. | Ophthalmology | 5 Saint Vincent Cir Ste 201, Little Rock, AR 72205-5416 | 2008-04-07 |
| 1518182526 | Jonathan Daniel Casciano | Ophthalmology | 5 Saint Vincent Cir Ste 200, Little Rock, AR 72205-5416 | 2007-04-16 |
| 1073661757 | R. E. Hardberger Md Pa | Ophthalmology | 123 N Van Buren St, Little Rock, AR 72205-3647 | 2007-01-08 |
| 1396813945 | Deer Eye Clinic Pa | Ophthalmology | 4942 W. Markham, Little Rock, AR 72205 | 2006-12-01 |
| 1912949785 | Pleasant Valley Ophthalmology, Pllc | Ophthalmology | 11825 Hinson Rd, Ste. 103, Little Rock, AR 72212-3404 | 2006-06-13 |
| 1962449892 | Edward M Penick IIi | Ophthalmology | 5 St. Vincent Circle, Suite 101, Little Rock, AR 72205-5412 | 2006-05-31 |
| 1992764914 | Little Rock Eye Clinic, LLP | Ophthalmology | 201 Executive Ct Ste A, Little Rock, AR 72205-4536 | 2006-03-20 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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| 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.