ETHAN BALK (NPI# 1831136571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831136571 |
Entity Type | Individual |
Full Name | ETHAN BALK |
Credential | M.D. |
Practice Address |
750 Washington St Box 63 Boston MA 02111-1526 |
Mailing Address |
750 Washington Street Box 63 New England Medical Center Boston MA 02111 |
Practice Telephone | 6176363282 |
Mailing Telephone | 6176363282 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 77179 | MA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124535372 | Ethan Balk | Dietitian, Registered | 40 Temple St Ste 7b, New Haven, CT 06510-2715 | 2018-01-09 |
Street Address |
750 WASHINGTON ST BOX 63 |
City | BOSTON |
State | MA |
Zip Code | 02111-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255337044 | Paul N Abourjaily | Pharmacist | 750 Washington St, # 420, Boston, MA 02111-1526 | 2005-06-27 |
1780222539 | Kathleen Nora Coughlin | Nurse Practitioner | 750 Washington St, Boston, MA 02111-1526 | 2019-12-11 |
1073962122 | John Pinski | Orthopaedic Surgery | 750 Washington St, Boston, MA 02111-1526 | 2016-06-09 |
1982901823 | Sara M Mcreynolds | Physician Assistant | 750 Washington St, Tufts Medical Center Emergency Dept, Boston, MA 02111-1526 | 2011-02-11 |
1457591638 | Maureen Abbott | Nurse Practitioner | 750 Washington St, Nemc Box 7105, Boston, MA 02111-1526 | 2009-02-27 |
1013152438 | Alexis Madej | Dietitian, Registered | 750 Washington St, Frances Stern Nutrition Center, Boston, MA 02111-1552 | 2008-12-15 |
1376797860 | Michelle W.s. Ma | Dermatology | 750 Washington St, Tufts Medical Center - Department of Internal Medicine, Boston, MA 02111-1526 | 2008-11-10 |
1366690554 | Tony Woo, Dds | Clinic/Center | 750 Washington St, Boston, MA 02111-1526 | 2008-09-03 |
1952564437 | Denise F. Arthurs | Dietitian, Registered | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
1891958385 | Daria Rachelle Homenko | Internal Medicine | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
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Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
---|---|---|---|---|
1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
Find all providers in BOSTON |
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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.