Efren L Baltazar, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME29436 Issued in FL

Practice address

2571 Executive Center Circle East
Howard Building Division of Disability Determination
Tallahassee, FL 32321

Phone

(850) 487-1363

Fax

(800) 672-1105

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275734881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 TRESCOTT DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-487-1363",
            "fax_number": "800-672-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 EXECUTIVE CENTER CIRCLE EAST",
            "address_2": "HOWARD BUILDING DIVISION OF DISABILITY DETERMINATION",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32321",
            "telephone_number": "850-487-1363",
            "fax_number": "800-672-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "EFREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME29436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Ballow, CLINICAL SOCIAL WORK
• Nicole Nabors Balmer, MD
• Saba Akbar Baloch, MD
• Moriam O Balogun, ARNP
• Roman Alexander Balsys, DO
• Tia Balthrop, RCSWI
• Stephen Dale Bamford, LCSW
• Florence P Bamgbose, ARNP
• Sharon Sanford Banasiewicz, PA-C
• Kacey Anne Banaszek, LMHC

• Obstetrics & Gynecology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.