DR. GORDON LEE BALKA (NPI# 1518159854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518159854 |
Entity Type | Individual |
Full Name | DR. GORDON LEE BALKA |
Credential | M.D. |
Practice Address |
General Chemical 324 Allied Chemical Rd Green River WY 82935 |
Mailing Address |
Po Box 551 Green River WY 82935-0551 |
Practice Telephone | 3078723397 |
Practice Fax Number | 3078723359 |
Mailing Telephone | 3078723397 |
Mailing Fax Number | 3078723359 |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
3211A | WY | Allopathic & Osteopathic Physicians |
Street Address |
GENERAL CHEMICAL 324 ALLIED CHEMICAL RD |
City | GREEN RIVER |
State | WY |
Zip Code | 82935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
Find all providers in zip 82935 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
City | GREEN RIVER |
Zip Code | 82935 |
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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.