Roderick Jay Baltzer (NPI# 1760564041, PAC ID# 8628965167) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760564041 |
| PAC ID by PECOS | 8628965167 |
| Professional Enrollment ID | I20100428000077 |
| Full Name | Roderick Jay Baltzer |
| Organization Legal Name | MACKINAC STRAITS HEALTH SYSTEM INC |
| Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Phone Number | 9066438585 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 1456420876 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231306 | MACKINAC STRAITS HOSPITAL AND HEALTH CENTER |
| 230105 | MCLAREN NORTHERN MICHIGAN |
| 230133 | OTSEGO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1140 N State St, Saint Ignace, MI 49781-1048 | 9066438585 | MACKINAC STRAITS HEALTH SYSTEM INC |
| Organization Legal Name | MACKINAC STRAITS HEALTH SYSTEM INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Hance | General Surgery | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Tracy Irish Texter | Nurse Practitioner | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Peter E Levanovich | Internal Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Stephen D Chabala | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Brandon M Vincent | Nurse Practitioner | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Richard E Hodgman | Family Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Matthew Alan Bowes | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| David A Moody | Certified Registered Nurse Anesthetist (crna) | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Norman E Schultz | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Susan H Strich | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip | 49781-1048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph W Hance | General Surgery | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Tracy Irish Texter | Nurse Practitioner | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Peter E Levanovich | Internal Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Stephen D Chabala | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Brandon M Vincent | Nurse Practitioner | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Richard E Hodgman | Family Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Matthew Alan Bowes | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| David A Moody | Certified Registered Nurse Anesthetist (crna) | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Norman E Schultz | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Susan H Strich | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory H Hessler | Family Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Francis M Magyar | Internal Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Amy G Bolmer | Medical Oncology | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Daniel K Wilcox | Orthopedic Surgery | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Wayne C Aldrich | Physician Assistant | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Lauren E Tassier | Nurse Practitioner | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Maryann Phillippi | Obstetrics/gynecology | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Michael E Havens | Physician Assistant | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Akhter Saeed | Emergency Medicine | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Charlene J Sweeney | Neurology | Mackinac Straits Health System Inc | 1140 N State St, Saint Ignace, MI 49781-1048 |
| Find all physicians in zip 49781 | |||
| City | SAINT IGNACE |
| Zip Code | 49781 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAINT IGNACE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roderick Jay Baltzer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.