DR. MUNA BALKASH (NPI# 1073992699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073992699 |
| Entity Type | Individual |
| Full Name | DR. MUNA BALKASH |
| Credential | M.D. |
| Practice Address |
4645 Eagle Dr Jackson MI 49201-9748 |
| Practice Telephone | 5177835508 |
| Practice Fax Number | 5177835508 |
| Mailing Telephone | 5177835508 |
| Mailing Fax Number | 5177835508 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301069485 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4645 EAGLE DR |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-9748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1891145850 | Abdullah Sharaf | Pediatrics | 760 W Franklin St # 49201, Jackson, MI 49201-2048 | 2016-06-20 |
| 1427427152 | Karin L Klee Md | Pediatrics | 555 E Broadway Ave Ste 216, Jackson, WY 83001-8640 | 2015-09-23 |
| 1295147809 | Jayasree Vasudevan Nair | Pediatrics | 100 Mission Blvd Ste 2600, Jackson, CA 95642-2536 | 2014-05-30 |
| 1669891099 | Jacquelin Foss Hardenbrook | Pediatrics | 555 E Broadway Ave Ste 202, Jackson, WY 83001-8640 | 2014-04-14 |
| 1871805093 | Jesse Alfred Miller Jr. | Pediatrics | 1804 Hwy 45 Bypass, Jackson, TN 38305 | 2010-07-02 |
| 1861647489 | Elizabeth Keeling Hensley | Pediatrics | 2046 Petit Bois St S, Jackson, MS 39211-6709 | 2008-11-24 |
| 1942469606 | The Children's Clinic of West Tennessee P.a. | Pediatrics | 264 Coatsland Dr, Jackson, TN 38301-3948 | 2008-06-06 |
| 1225203011 | Tom Pockat Md PC | Pediatrics | 555 E. Broadway St., Suite 202, Jackson, WY 83001-4182 | 2008-04-23 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.