Brenda K Balthazor (NPI# 1851316871, PAC ID# 5092744078) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851316871 |
| PAC ID by PECOS | 5092744078 |
| Professional Enrollment ID | I20050810000355 |
| Full Name | Brenda K Balthazor |
| Organization Legal Name | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Address |
375 Main St Birnamwood WI 54414-9259 |
| Phone Number | 7154492539 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557271202 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521350 | LANGLADE HOSPITAL |
| 520030 | ASPIRUS WAUSAU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 375 Main St, Birnamwood, WI 54414-9259 | 7154492539 | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| 604 S Webb, Wittenberg, WI 54499-9042 | 7154492271 | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Organization Legal Name | LANGLADE HOSPITAL HOTEL DIEU OF ST JOSEPH OF ANTIGO WISCONSIN |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi L Space | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | W10618 Clinic St, Elcho, WI 54428-9619 |
| Gina E Ramthun | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Kasra A Milani | Hospitalist | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Debra A Safford | Nurse Practitioner | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Angela E Buchman | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Andrea L Pennington | Physician Assistant | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Dennis Mcfadden | Obstetrics/gynecology | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Carlos X Condado | Certified Registered Nurse Anesthetist (crna) | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 112 E 5th Ave, Antigo, WI 54409-2710 |
| Kara Hall | Clinical Social Worker | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Kyle J Dembowiak | Family Medicine | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | 110 E 5th Ave, Antigo, WI 54409-2710 |
| Street Address |
375 MAIN ST |
| City | BIRNAMWOOD |
| State | WI |
| Zip | 54414-9259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel W Smith Jr. | Physician Assistant | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Suk Namkoong | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Karl G George | Chiropractic | 375 Main St, Setauket, NY 11733-3832 | |
| James Ream Whittum | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| Paul J Donovan | Orthopedic Surgery | Northern Berkshire Medical PC | 375 Main St, Williamstown, MA 01267-2610 |
| City | BIRNAMWOOD |
| Zip Code | 54414 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BIRNAMWOOD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brenda K Balthazor.
| 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.