Lynette Baltas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.003312 Issued in OH

Practice address

7901 Diley Rd Ste 260
Canal Winchester, OH 43110-9613

Phone

(614) 920-1000

NPI assigned

Mar 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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

• Diley Medical Group LLC

  • Internal Medicine Physician
  • Canal Winchester, OH
  • NPI 1073787537
  Medicare reassignment
• Emergency Services, Inc.

  • Emergency Medicine Physician
  • Columbus, OH
  • NPI 1316925092
  NPD (past)
• Cardiology Associates of Mobile Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1861666711
  NPD (past)
• Moss Point Family Clinic

  • Primary Care Clinic/Center
  • Moss Point, MS
  • NPI 1518172568
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710955869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD STE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109613",
            "telephone_number": "614-920-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Amoco Dr",
            "address_purpose": "LOCATION",
            "city": "Moss Point",
            "state": "MS",
            "postal_code": "395639627",
            "country_code": "US",
            "telephone_number": "228-474-9511",
            "fax_number": "228-475-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4770 Amoco Dr",
            "address_purpose": "LOCATION",
            "city": "Moss Point",
            "state": "MS",
            "postal_code": "395639627",
            "country_code": "US",
            "telephone_number": "228-474-9511",
            "fax_number": "228-475-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAS",
        "first_name": "LYNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MS",
            "license": "PA00046",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rabeu Badaru
• Kyle Benjamin Bader, DDS
• Mariama Bah
• Linda Baker
• Carla Levonne Baldwin, STNA
• Lynsie Acacia Bane, M.D.
• Wendy Maria Banks
• Allison Marie Barber, P.T.
• Lori Bardos, RPH
• Joleanna Ann Bare, LPN

• Medical Physician Assistant in Canal Winchester, OH
• Providers in Canal Winchester, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.