MR. RYAN PAUL BALTHASER (NPI# 1124569710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124569710 |
| Entity Type | Individual |
| Full Name | MR. RYAN PAUL BALTHASER |
| Credential | PA |
| Practice Address |
725 Timpany Blvd Gardner MA 01440-3453 |
| Practice Telephone | 9786328100 |
| Mailing Telephone | 9786328100 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA6065 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
725 TIMPANY BLVD |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-3453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953247 | Tricia L Vorderstrasse | Family Medicine | 725 Timpany Blvd, Suite 106, Gardner, MA 01440-3453 | 2005-12-15 |
| 1326656315 | Cheryl Barber | Physician Assistant | 725 Timpany Blvd, Gardner, MA 01440-3472 | 2020-07-16 |
| 1336604859 | Colleen Jean | Physical Therapist | 725 Timpany Blvd, Gardner, MA 01440-3453 | 2019-02-08 |
| 1235670415 | Jenna Garozzo | Physician Assistant | 725 Timpany Blvd, Gardner, MA 01440-3453 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470837 | Elizabeth Ew Temple | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2005-07-12 |
| 1326656315 | Cheryl Barber | Physician Assistant | 725 Timpany Blvd, Gardner, MA 01440-3472 | 2020-07-16 |
| 1235670415 | Jenna Garozzo | Physician Assistant | 725 Timpany Blvd, Gardner, MA 01440-3453 | 2017-03-20 |
| 1043765381 | Kristina Lahtinen | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-08-16 |
| 1528511185 | Danielle Pfeifer | Physician Assistant | 18320 S Center St, Gardner, KS 66030-9157 | 2016-08-01 |
| 1043672249 | Frank Jacob Yavorosky | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-03-25 |
| 1932441532 | Pauline V. Saunders | Physician Assistant | 175 Connors St, Gardner, MA 01440-2637 | 2013-03-21 |
| 1639442825 | Carol Anne Furnari | Physician Assistant | 57 City Hall Ave, Gardner, MA 01440 | 2012-02-17 |
| 1205067279 | Casie Hurd Short | Physician Assistant | 175 Connors St, Gardner, MA 01440-2637 | 2009-08-07 |
| 1538303086 | Timothy Dale Jayne Jr. | Physician Assistant | 242 Green St, Gardner, MA 01440-1373 | 2009-04-28 |
| Find all providers in GARDNER | ||||
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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.