Lizet Balazi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109050 Issued in FL

Practice address

26800 S Tamiami TRL
#310
Bonita Springs, FL 34134-4349

Phone

(239) 949-0742

NPI assigned

Sep 28, 2015

Last updated

Dec 16, 2015By the provider in NPPES

Sex

Female

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbalazipa293275@direct.atrius.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atrius Health, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1871639914
  Medicare reassignment Care Compare group
• Atrius Health, Inc.

  dba Harvard Vangard Medical Associates

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1053862045
  NPD
• Atrius Health, Inc.

  dba Harvard Vanguard Medical Associates

  • Internal Medicine Physician
  • Beverly, MA
  • NPI 1114265634

  Physician Assistant

  NPD
• Brian G. Fabian MD PA

  • MOHS-Micrographic Surgery Physician
  • Bonita Springs, FL
  • NPI 1093983884
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1356711865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800S TAMIAMI TRL 310",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344348",
            "telephone_number": "239-949-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 S TAMIAMI TRL",
            "address_2": "#310",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344349",
            "telephone_number": "239-949-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZI",
        "first_name": "LIZET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Warren Bagley III, PT, DPT
• Bernard Bahnam, PHARMD
• Jovan Collantes Baker, MD
• Tosha Marie Baker, COTA/L
• Arturo Balandra, MD
• Darlene Welton Ballew, M.A.
• Lauren Elizabeth Baptista, MS, FNP-BC
• Alana Debret Barancyk, NP
• Nancy P Baratta, APRN
• Tara Ann Barnes, PHARM.D., RPH

• Physician Assistant in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.