MR. TIMOTHY MICHAEL BALISE (NPI# 1972935385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972935385 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL BALISE |
| Credential | PA-C |
| Practice Address |
133 Fairfield St Saint Albans VT 05478-1726 |
| Mailing Address |
237 Maple St Apartment 3 Burlington VT 05401-4561 |
| Practice Telephone | 8025241292 |
| Mailing Telephone | 4132442374 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055.0031177 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 FAIRFIELD ST |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757635 | Mary A Woodhouse | Surgery | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2005-08-16 |
| 1881231579 | Meghan Reilly | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-12-02 |
| 1922658921 | Northwestern Medical Center, Inc. | Internal Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2019-09-12 |
| 1942771696 | Christine Corbeil | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-12-06 |
| 1255809836 | Northwestern Medical Center, Inc. | Dietitian, Registered | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-11-13 |
| 1174004261 | Northwestern Medical Center, Inc. | Psychiatry & Neurology | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-08-27 |
| 1891288486 | Samantha O'sullivan Cooney | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-06-08 |
| 1447740618 | Kelsey Dunn | Social Worker | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2018-05-14 |
| 1518408921 | Ethan John Hundley | Family Medicine | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2017-03-17 |
| 1073974663 | Cristine Griffing | Specialist/Technologist | 133 Fairfield St, Nmc Lifestyle Medicine, Saint Albans, VT 05478-1726 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851628150 | Todd Mason Stanford | Physician Assistant | 903 5th Ave, Saint Albans, WV 25177-2948 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1891963179 | Nicole Ernst | Physician Assistant | 555 Washington Highway, Mansfield Orthopedics @ Copley, Morrisville, VT 05661-8972 | 2008-02-20 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1538708789 | Sarah Allison Mccabe | Physician Assistant | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 | 2020-01-04 |
| 1255849840 | Lisa Ann Eberwein | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2018-01-17 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1669911483 | Jennifer A. O'connor | Physician Assistant | 192 Tilley Dr., Uvm Medical Center - Ortho/spine, S. Burlington, VT 05403 | 2017-02-13 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
| 1891086518 | Sara T. Child | Physician Assistant | 6 San Remo Dr., Uvm Medical Center - Orthopedics, S. Burlington, VT 05403-6310 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
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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.