Healthcare Provider Details

I. General information

NPI: 1053043760
Provider Name (Legal Business Name): CATHERINE BALSITIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE MOSBY PA-C

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E MARSHALL ST
RICHMOND VA
23298-5026
US

IV. Provider business mailing address

8250 ROBERT BRUCE DR
NORTH CHESTERFIELD VA
23235-3256
US

V. Phone/Fax

Practice location:
  • Phone: 833-828-5487
  • Fax:
Mailing address:
  • Phone: 843-754-6778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: