DR. JOHN A. BALACKI (NPI# 1578562179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578562179 |
| Entity Type | Individual |
| Full Name | DR. JOHN A. BALACKI |
| Credential | M.D. |
| Practice Address |
535 Main St Olean NY 14760-1513 |
| Practice Telephone | 7163720141 |
| Practice Fax Number | 7163736632 |
| Mailing Telephone | 7163720141 |
| Mailing Fax Number | 7163736632 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
138113 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00520470 | 05 |
| Street Address |
535 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380242 | Othoniel Castro | Psychiatry & Neurology | 535 Main St, Olean, NY 14760-1513 | 2005-07-18 |
| 1962979419 | Tamara L Chaffee | Midwife | 535 Main St, Olean, NY 14760-1500 | 2018-11-01 |
| 1902304066 | Matthew Wayne Ring | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2018-01-24 |
| 1851743066 | Michelle Marie Christie | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2016-07-12 |
| 1629470265 | Mattison Baker | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2014-09-25 |
| 1912337718 | Renee Hansen | Midwife | 535 Main St, Olean, NY 14760-1500 | 2013-11-15 |
| 1528301918 | Tressa M Jordan | Podiatrist | 535 Main St, Olean, NY 14760-1500 | 2013-04-03 |
| 1003152174 | Neha Bansal | Internal Medicine | 535 Main St, Olean, NY 14760-1500 | 2012-12-18 |
| 1861765331 | Christine Ann Wild | Nurse Practitioner | 535 Main St, Olean, NY 14760-1500 | 2012-02-14 |
| 1942584180 | Kathryn Anne Nelson | Physician Assistant | 535 Main St, Olean, NY 14760-1500 | 2011-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902194368 | Health Systems Physician PC | Internal Medicine | 130 S Union St, Olean, NY 14760-3676 | 2011-07-19 |
| 1013157460 | Zafar K Mirza Gastroenterology Pllc | Internal Medicine | 2223 W State St, Suite 115, Olean, NY 14760-1938 | 2009-02-25 |
| 1093901720 | Zaheer U Babar, Md, PC | Internal Medicine | 2223 W State St, Suite 115, Olean, NY 14760-1938 | 2007-09-17 |
| 1902879893 | Zaheer U Babar | Internal Medicine | 2223 W State St, Suite 115, Olean, NY 14760-1938 | 2006-02-10 |
| 1073586962 | Zafar K Mirza | Internal Medicine | 2223 W State St, Suite 115, Olean, NY 14760-1938 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
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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.