Balanced Physician Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BALANCED PHYSICIAN CARE PA

Practice address

115 Professional Park Drive
Suite 104
Ponte Vedra Beach, FL 32082

Phone

(904) 930-4774

NPI assigned

Jan 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharyl J Truty, M.D.NPI 1093767147

Title

Provider/President

Phone

(904) 930-4774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharyl J Truty, MD

  • Specialist
  • Jacksonville Beach, FL
  • NPI 1093767147
  Medicare reassignment NPD Authorized official
• Adrienne Maung Denenberg, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1902682883

  FL

  Medicare reassignment
• Arlene Aquino, APRN

  • Nurse Practitioner
  • Fleming Island, FL
  • NPI 1336617810
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1033575121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PROFESSIONAL PARK DRIVE",
            "address_2": "SUITE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-930-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PROFESSIONAL PARK DRIVE",
            "address_2": "SUITE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-930-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PHYSICIAN CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "TRUTY",
        "authorized_official_first_name": "SHARYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "904-930-4774",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith E Baird, PA-C
• Kourtney Michelle Baker
• Arezoo Bakhtiari
• Mustafa Bakir, MD
• Shoba Balaji, RDN
• Razvan Balotescu, M.D.
• Raymond Balsys, M.D.
• Maria Bannister, OTR/L
• Baptist Pediatrics
• Baptist Primary Care Inc

• Family Medicine Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.