Individual provider Active NPI

Joel Eric Balcom, M.D.

  • Emergency Medicine Physician
  • Alliance, OH
National Provider Identifier
1043469356
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.093250 Issued in OH
Practice address
200 E State St
Alliance, OH 44601-4936
Phone
(330) 596-6100
NPI assigned
Sep 10, 2008
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MT188804 PA
Emergency Medicine Physician 207P00000X 35.093250 OH Primary

Addresses

Primary practice location

200 E State St
Alliance, OH 44601-4936

Mailing address

3125 Dunbarton Ave NW
Canton, OH 44708-1844
Phone (330) 614-3606

Other practice location 1

2021 Wales Ave NW
Massillon, OH 44646
Phone (330) 834-1111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joel.balcom@direct.aultman.org Health Information Exchange (HIE) Alliance Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090626000446 OH Practitioner - Emergency Medicine 1658422977 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox Emergency Services LLCGroup PAC ID 0042113862, 9 clinicians

Practice addresses (Care Compare)

1330 Coshocton Ave
Mount Vernon, OH 43050-1440
Phone (740) 393-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.093250OHMDEmergency Medicine Physician
MT188804PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Aug 21, 2023 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Partners Physician Group CurrentSince Jul 18, 2023 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital CurrentSince Jan 17, 2012 Accepting new patients
Aultman Hospital Current Accepting new patients
Caep-Dunlap, LLC Emergency Medicine CurrentSince Dec 1, 2009 Accepting new patients
Aultman Hospital CurrentSince Jan 17, 2012 Accepting new patients
Canton Aultman Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Partners Physician Group CurrentSince Jul 18, 2023 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince May 10, 2022 Accepting new patients
The Union Hospital Association CurrentSince Aug 21, 2023 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

2021 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-2180

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: joel.balcom@direct.aultman.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1043469356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 DUNBARTON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081844",
            "telephone_number": "330-614-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014936",
            "telephone_number": "330-596-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Wales Ave NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "44646",
            "country_code": "US",
            "telephone_number": "330-834-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "JOEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT188804",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.093250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joel.balcom@direct.aultman.org",
            "affiliation": "Y",
            "affiliationName": "Alliance Community Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 E State St",
            "city": "Alliance",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446014936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.