Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ryan Paul Balthaser, PA

Individual provider Physician Assistant · NPI 1124569710

Mr. Ryan Paul Balthaser, PA is a Physician Assistant in Gardner, Massachusetts. Qualified in 2016, 10 years ago. Practices with Tricia Vorderstrasse MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

725 Timpany Blvd
Gardner, MA 01440-3453
Phone: (978) 632-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6065 (MA)

Record details

NPI number1124569710
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 15, 2017
Last updated in NPPESMarch 15, 2017
Mailing address725 Timpany Blvd, Gardner, MA 01440-3453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tricia Vorderstrasse Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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