Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jonathan Robert Baltzell, PA-C

Individual provider Physician Assistant · NPI 1457350258

Mr. Jonathan Robert Baltzell, PA-C is a Physician Assistant in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10210 Couloak Dr Ste E
Charlotte, NC 28216-7679
Phone: (704) 801-2000
Fax: (704) 801-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102359 (NC)

Record details

NPI number1457350258
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESApril 1, 2014

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