Patricia M Baltazar, FNP

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

036117307 Issued in IL

Practice address

410 E Lincoln Hwy Ste 101
New Lenox, IL 60451-1976

Phone

(815) 462-5544

NPI assigned

Aug 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1659008928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25138 ROCKWELL LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852236",
            "telephone_number": "708-903-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E LINCOLN HWY STE 101",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511976",
            "telephone_number": "815-462-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 N Morgan St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606071739",
            "country_code": "US",
            "telephone_number": "312-313-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "209025045",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036117307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patty@truemedspacenter.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "25138 Rockwell Ln",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605852236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Bailey, NP
• Tript Bajwa, PMHNP-BC
• Deepak Bakane
• Hemlata D Bakane, M.D.
• Taylor Baldermann
• April Allison Balzhiser, LCPC, ICDVP
• Armughan Z Bangash, M.D
• Julia Grace Bania, WHNP-BC
• Marllys Banks, M.S., CFY-SLP
• Teresea Bargewell, LPC, M.A.

• Surgery of the Hand (Plastic Surgery) Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.