MR. NESTOR ANTONIO BALDIZON (NPI# 1427049717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427049717 |
| Entity Type | Individual |
| Full Name | MR. NESTOR ANTONIO BALDIZON |
| Credential | PA-C |
| Practice Address |
148 Clinic Ave Carrollton GA 30117-4414 |
| Mailing Address |
119 Ambulance Dr Suite 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708388640 |
| Practice Fax Number | 7708388650 |
| Mailing Telephone | 7708388640 |
| Mailing Fax Number | 7708388650 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004239 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 253274100B | 05 |
| Street Address |
148 CLINIC AVE |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362127 | Suzanne Cahill Manley | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2005-11-02 |
| 1730557869 | Lyndi Nicole Bowling | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117 | 2015-09-06 |
| 1942683818 | Caroline G Colden | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2015-07-09 |
| 1346631322 | Elisabeth Mcpherson | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2015-02-11 |
| 1972821148 | Holley Elizabeth Beam | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2010-05-12 |
| 1255521647 | Keatrina T Springer | Nurse Practitioner | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2007-07-31 |
| 1518972348 | Tmc Children's Healthcare of West Georgia | Clinic/Center | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2006-07-30 |
| 1083651996 | Steven Allen Eubanks Jr. | Pediatrics | 148 Clinic Ave, Carrollton, GA 30117 | 2006-05-31 |
| 1356322424 | Tammy Ann Stewart | Physician Assistant | 148 Clinic Ave, Carrollton, GA 30117-4414 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| 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 |
|---|---|---|---|---|
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1073129276 | Versoal, Pllc | Physician Assistant | 2459 E Hebron Pkwy Ste 100, Carrollton, TX 75010-4477 | 2020-09-22 |
| 1679099477 | Alyssa Musa Ali | Physician Assistant | 1301 Oneida Dr, Carrollton, TX 75010-2303 | 2017-08-14 |
| 1164887899 | Jashica Desai | Physician Assistant | 4300 N Josey Ln Ste 110, Carrollton, TX 75010-4681 | 2015-12-22 |
| 1538473343 | Christie Marie Redrow | Physician Assistant | 1237 Stillwater Trl, Carrollton, TX 75007-6230 | 2010-08-04 |
| 1518290378 | Kimberly A Quinter | Physician Assistant | 16160 Quail Crescent Ln, Carrollton, VA 23314-2251 | 2009-09-11 |
| 1861623951 | Asma Ashiqali Bhaidani | Physician Assistant | 4125 Fairway Dr Ste 190, Carrollton, TX 75010 | 2009-08-06 |
| 1942328984 | Autumn Deese Davis | Physician Assistant | 401 Dixie St, Carrollton, GA 30117-3921 | 2007-03-27 |
| 1306984679 | Richard C Schutt | Physician Assistant | 4780 N Josey Lane, Carrollton, TX 75010 | 2007-02-01 |
| 1437222783 | Gary Steven Marcum | Physician Assistant | 1702 E Belt Line Rd, Carrollton, TX 75006-6375 | 2006-11-16 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on MR. NESTOR ANTONIO BALDIZON.
| 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.