Active NPIIndividual provider

Mr. Ryan P Balthaser, PA

Physician Assistant in Gardner, Massachusetts

NPI Number1124569710
Practice location
725 Timpany Blvd, Gardner, MA 01440-3453
Fax
—
Last updated
March 15, 2017

Ryan Paul Balthaser is a Physician Assistant based in Gardner, MA. Ryan Paul Balthaser practices in Gardner, MA and has the professional credentials of PA. The NPI Number for Ryan Paul Balthaser is 1124569710 and holds a License No. PA6065 (MA). The current practice location address for Ryan Paul Balthaser is 725 Timpany Blvd, Gardner, MA 01440-3453 and can be reached out via phone at 978-632-8100.

Provider Profile Details

NPI Number
1124569710
Provider Name
Ryan Paul Balthaser
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
725 Timpany Blvd, Gardner, MA 01440-3453
Phone Number
978-632-8100
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
March 15, 2017
Last Update Date
March 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
725 Timpany Blvd
Gardner, MA 01440-3453
Zip
01440-3453
Phone Number
978-632-8100
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
725 Timpany Blvd
Gardner, MA 01440-3453
City
Gardner
State
MA
Zip
01440-3453
Phone Number
978-632-8100

License Information

License Number
PA6065
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Ryan P Balthaser, PA?

The NPI number of Mr. Ryan P Balthaser, PA is 1124569710. It was assigned on March 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Ryan P Balthaser, PA?

Mr. Ryan P Balthaser, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6065.

Where does Mr. Ryan P Balthaser, PA practice?

The practice location is 725 Timpany Blvd, Gardner, MA 01440-3453. The office can be reached at 978-632-8100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124569710 directly on the NPPES registry website.

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