ROBERT RAY BALTIERRA


Address: 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907
Phone: 7344160348

ROBERT RAY BALTIERRA (NPI# 1013442094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013442094
Entity Type Individual
Full Name ROBERT RAY BALTIERRA
Practice Address 44429 Ann Arbor Rd W
Plymouth
MI 48170-3907
Mailing Address 11513 Walnut St
Whittier
CA 90606-3423
Practice Telephone 7344160348
Enumeration Date 2017-04-27
Last Update Date 2020-02-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 4901005154 MI Eye and Vision Services Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
MI 1013442094 05
MI 1497781868 05
MI BCBS 0C97655 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
11513 Walnut St, Whittier, CA 906063423 5622010780

Office Location

Street Address 44429 ANN ARBOR RD W
City PLYMOUTH
State MI
Zip Code 48170-3907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720611734 Brightside Medical of Michigan, P.C. Psychiatry & Neurology Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 2020-02-18
1265075279 Mast Enterprises Home Health 40800 Five Mile Rd Ste C, Plymouth, MI 48170 2019-10-22
1003470964 Smiley Private Homecare LLC Technician, Pathology 1098 Ann Arbor Rd #249, Plymouth, MI 48170 2019-04-26
1275003832 Atsalis Dental Excellence Dentist 690 South Main St, Plymouth, MI 48170 2018-11-27
1275003808 Danielle Cefalo Speech-Language Pathologist 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 2018-11-27
1962987966 Mindful Wellness Counseling, LLC Social Worker 9266 Northern Ave, Plymouth, MI 48170 2018-09-26
1972094027 Plymouth Urgent Care Walk-in Clinic LLC Clinic/Center 1498 S Sheldon Rd, Plymouth, MI 48170 2018-05-24
1356843791 Polaris Pharmacy Services of Michigan, LLC Pharmacy 9131 General Court, Plymouth, MI 48170 2018-03-01
1528569787 Alcona Citizens for Health Inc Clinic/Center 101 S Union St Unit 101, Plymouth, MI 48170 2018-02-23
1073029484 Holly Ann Haase Technician/Technologist 650 Church St, Plymouth, MI 48170 2017-12-20
Find all providers in zip 48170

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558986281 Courtney Laperriere Student in an Organized Health Care Education/Training Program 19 Welton Dr, Plymouth, MA 02360-2367 2020-06-09
1053934588 Kailey Weichel Student in an Organized Health Care Education/Training Program 308 N Columbus Ave, Plymouth, NE 68424 2020-05-19
1568099661 Nikko Sirdenis Student in an Organized Health Care Education/Training Program 9065 Corey Ct, Plymouth, MI 48170-3497 2020-03-26
1437793676 Kaitlin Mccuskey Student in an Organized Health Care Education/Training Program 3050 Rosewood Ln N, Plymouth, MN 55441-2740 2019-10-31
1134760515 Natalie Ann Ondayko Student in an Organized Health Care Education/Training Program 1698 Nantucket Rd, Plymouth, MI 48170-7000 2019-10-07
1407406143 Peng Lee Student in an Organized Health Care Education/Training Program 190 Main St Apt C, Plymouth, NH 03264-1566 2019-09-15
1538722103 Maxwell E Johnson Student in an Organized Health Care Education/Training Program 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 2019-04-18
1013475540 Miqdad Tambawala Student in an Organized Health Care Education/Training Program 19 Highland Ave Ste 1057, Plymouth, NH 03264-1585 2019-03-04
1710480967 Jeffrey Beauregard Student in an Organized Health Care Education/Training Program 47088 Brooks Ln, Plymouth, MI 48170-3476 2018-03-14
1588164198 Mackenzie Rae Schuler Student in an Organized Health Care Education/Training Program 722 N Walnut St, Plymouth, IN 46563-1550 2018-02-20
Find all providers in PLYMOUTH

Competitor

Search similar providers

City PLYMOUTH
Zip Code 48170

Improve Information

Please comment or provide details below to improve the information on ROBERT RAY BALTIERRA.

Dataset Information

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.

Trending Searches