JENNIFER BALASKO (NPI# 1821625070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821625070 |
| Entity Type | Individual |
| Full Name | JENNIFER BALASKO |
| Practice Address |
5230 E Stop 11 Rd Ste 250 Indianapolis IN 46237-6399 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 3175288921 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 11021080A | IN | Student, Health Care |
| Street Address |
5230 E STOP 11 RD STE 250 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| 1801415005 | Adam Price | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-09 |
| 1972122174 | Jenny Yi Wei Dong | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-09 |
| 1548899826 | Kyle Whistler | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-07 |
| 1689203424 | Michael Joseph Roesler II | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-03 |
| 1750919866 | Molly S Furman | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-01 |
| 1073141149 | Rachel Summay | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-01 |
| 1710515887 | Annalissa Kammeyer Smith | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2020-04-01 |
| 1740832245 | Nathan T Walters | Psychologist | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2019-07-15 |
| 1578026084 | Blake Christy | Student in an Organized Health Care Education/Training Program | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 | 2019-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1457963563 | Janelle M Bonitati | Student in an Organized Health Care Education/Training Program | 914 E 50th St, Indianapolis, IN 46205-1112 | 2020-08-19 |
| 1629688718 | Krisha Anne Retherford | Student in an Organized Health Care Education/Training Program | 4548 Sundance Trl, Indianapolis, IN 46239-9716 | 2020-08-04 |
| 1740806132 | Vanessa Renee Ianson | Student in an Organized Health Care Education/Training Program | 325 Bangor Dr, Indianapolis, IN 46227-2423 | 2020-06-22 |
| 1881219475 | Stephanie Scalf | Student in an Organized Health Care Education/Training Program | 4912 E 69th St, Indianapolis, IN 46220-3826 | 2020-06-10 |
| 1831719863 | Austin Martin Henderson | Student in an Organized Health Care Education/Training Program | 1520 N Senate Ave Dept Of, Indianapolis, IN 46202-2213 | 2020-04-20 |
| 1194344572 | Kaitlyn Edwards | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr # 5837, Indianapolis, IN 46202-5109 | 2020-04-15 |
| 1700405347 | Russell Reed | Student in an Organized Health Care Education/Training Program | 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 | 2020-04-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on JENNIFER BALASKO.
| 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.