PATRICIA M. BALTAZAR FNP – NPI #1659008928
Plastic Surgery

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

PATRICIA BALTAZAR is a plastic surgeon located in NEW LENOX, IL. NPPES has assigned the NPI number 1659008928 to PATRICIA BALTAZAR on August 05, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0105X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Surgery of the Hand

The NPI profile was previously updated about 4 years ago on Oct 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATRICIA BALTAZAR below.

NPI Profile for
PATRICIA M. BALTAZAR

NPI Number
1659008928
Enumeration Date

(about 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PATRICIA M. BALTAZAR
Credentials
FNP
Primary location
410 E LINCOLN HWY STE 101
NEW LENOX, IL 60451-1976
Phone: (815) 462-5544 Fax:
1 Other location(s):
213 N Morgan St
Chicago, IL 60607-1739
Phone: (312) 313-6125
Mailing address
25138 ROCKWELL LN
PLAINFIELD, IL 60585-2236
Phone: (708) 903-0998 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0105X
- Plastic Surgery / Surgery of the Hand (Primary)
IL 036117307
207QA0505X
- Family Medicine / Adult Medicine
IL 209025045

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
25138 ROCKWELL LN,
PLAINFIELD, IL 77025-1669