DR. JOHN R BALFANZ (NPI# 1669452561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669452561 |
| Entity Type | Individual |
| Full Name | DR. JOHN R BALFANZ |
| Credential | MD |
| Practice Address |
233 Grand Ave St Paul MN 55102 |
| Mailing Address |
Essentia Health Duluth Clinic - Mcl2cred 400 East Third Street Duluth MN 55805-1951 |
| Practice Telephone | 6512277806 |
| Practice Fax Number | 6512566707 |
| Mailing Telephone | 2187868319 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20262 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 048087800 | 05 |
| Street Address |
233 GRAND AVE |
| City | ST PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1417923533 | Laura G Hoyt | Pediatrics | 347 North Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 | 2006-02-28 |
| 1497735419 | Tammi S Plotnik | Pediatrics | 233 Grand Avenue, St Paul, MN 55102 | 2006-01-17 |
| 1043345887 | Sarah M Frenning | Pediatrics | 2500 Como Avenue - Mail Stop 31100a, Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-22 |
| 1467596148 | Poornima K Kavathekar | Pediatrics | 2500 Como Avenue, Mail Stop 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-16 |
| 1356420384 | Susan C Goodale | Pediatrics | 393 N Dunlap St, Suite 300, St Paul, MN 55104 | 2006-11-02 |
| 1225132566 | Childrens Health Care | Pediatrics | 345 North Smith Avenue, Childrens Specialty Clinics Stpl, St Paul, MN 55102 | 2006-09-08 |
| 1487767018 | Phillip M Kibort | Pediatrics | 347 North Smith Avenue, Mail Stop 70 501 Childrens Hospitals and Clinics of Min, St Paul, MN 55102 | 2006-08-17 |
| 1134174717 | Kimberly K Rathmann | Pediatrics | 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104-4621 | 2006-05-23 |
| 1275590762 | Carolyn J Levitt | Pediatrics | 347 North Smith Avenue, 401, Midwest Childrens Resource Center, St Paul, MN 55102 | 2006-04-27 |
| 1487615969 | Constantinos Voulgaropoulos | Pediatrics | 347 North Smith Avenue, Childrens Specialty Clinic Diabetes Endocrinology Stpl, St Paul, MN 55102 | 2006-04-01 |
| Find all providers in ST PAUL | ||||
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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.