Carol Rendon Baltazar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0063185 Issued in MD

Practice address

8600 Snowden River Parkway
Suite 307
Columbia, MD 21045-1986

Phone

(410) 290-0012

Fax

(410) 290-0015

NPI assigned

Apr 27, 2007

Sex

Female

Sole proprietor

Yes

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

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.

• Dr Reynaldo Lee-Llacer II PC

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1699578989
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740400092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PARKWAY",
            "address_2": "SUITE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0012",
            "fax_number": "410-290-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PARKWAY",
            "address_2": "SUITE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0012",
            "fax_number": "410-290-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTAZAR",
        "first_name": "CAROL",
        "middle_name": "RENDON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ballew, DPT
• Balm Behavioral Health Services
• Tosin Balogun
• Jessica Balonis, CRNP
• Katrina Louise Balovlenkov, LCSW-C
• Baltimore Washington Surgery Center, L.L.C.
• Balum Imaging LLC
• Aisha Bamidele
• Philomera Bamugye Jones
• Clement S. K. Banda, M.D.

• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• 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.