Nathan Shane Balusik (NPI# 1407174576, PAC ID# 6002055423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407174576 |
| PAC ID by PECOS | 6002055423 |
| Professional Enrollment ID | I20130829000913 |
| Full Name | Nathan Shane Balusik |
| Organization Legal Name | ANNE GRADY CORPORATION |
| Address |
1525 Eber Rd Holland OH 43528-9616 |
| Phone Number | 4198666500285 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476445305 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360090 | ST LUKE'S HOSPITAL |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 360112 | MERCY ST VINCENT MEDICAL CENTER |
| 361309 | HENRY COUNTY HOSPITAL, INC |
| 360029 | WOOD COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1525 Eber Rd, Holland, OH 43528-9616 | 4198666500285 | ANNE GRADY CORPORATION |
| 900 Waterville Monclova Rd, Suite A, Waterville, OH 43566-1169 | 4198782026 | WATERVILLE FAMILY PHYSICIANS INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 49% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 37% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 11% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 17% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 27% |
| Organization Legal Name | ANNE GRADY CORPORATION |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea K Bruss | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Stephen P Bazeley | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Lindsey J Bostelman | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Mark R Bruss | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Rebecca Lynn Siders | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Peter P Zangara | Neurology | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Jill Marquart Fox | Psychiatry | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9697 |
| Street Address |
1525 EBER RD |
| City | HOLLAND |
| State | OH |
| Zip | 43528-9616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea K Bruss | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Stephen P Bazeley | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Lindsey J Bostelman | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Mark R Bruss | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Rebecca Lynn Siders | Family Medicine | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Peter P Zangara | Neurology | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9616 |
| Jill Marquart Fox | Psychiatry | Anne Grady Corporation | 1525 Eber Rd, Holland, OH 43528-9697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Fleig | Physician Assistant | Endocrine Specialists, P.C. | 6855 Spring Valley Dr, Suite 150, Holland, OH 43528-7012 |
| Stephanie S Allison | Nurse Practitioner | Endocrine Specialists, P.C. | 6855 Spring Valley Dr, Suite 150, Holland, OH 43528-7012 |
| Rachel C Kindred | Physician Assistant | Endocrine Specialists, P.C. | 6855 Spring Valley Dr, Suite 150, Holland, OH 43528-7012 |
| Lane B Judge | Nurse Practitioner | Endocrine Specialists, P.C. | 6855 Spring Valley Dr, Suite 150, Holland, OH 43528-7012 |
| Mahmood Fattooh Moosa | Endocrinology | Endocrine Specialists, P.C. | 6855 Spring Valley Dr, Suite 150, Holland, OH 43528-7012 |
| Maria Pollock | Nurse Practitioner | The Little Clinic of Ohio LLC | 7059 Orchard Centre Dr, Holland, OH 43528-7961 |
| Amy Donnelly | Nurse Practitioner | The Little Clinic of Ohio LLC | 7059 Orchard Centre Dr, Holland, OH 43528-7961 |
| Lina A Barakat | Nurse Practitioner | The Little Clinic of Ohio LLC | 7059 Orchard Centre Dr, Holland, OH 43528-7961 |
| Christina L Knapke | Nurse Practitioner | The Little Clinic of Ohio LLC | 7059 Orchard Centre Dr, Holland, OH 43528-7961 |
| Connie M Palakodeti | Nurse Practitioner | The Little Clinic of Ohio LLC | 7059 Orchard Centre Dr, Holland, OH 43528-7961 |
| Find all physicians in zip 43528 | |||
| City | HOLLAND |
| Zip Code | 43528 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOLLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nathan Shane Balusik.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.