Active NPI
Linde Elizabeth Baliola
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61541399
- Practice address
- 200 NE Mother Joseph PL Ste 110
Vancouver, WA 98664-3293 - Phone
- (360) 254-6161
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA205750 | OR | |
| Physician Assistant | 363A00000X | PA61541399 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 110
Vancouver, WA 98664-3293
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 NE Mother Joseph PL
110 Rebound Orthopedics
Vancouver, WA 98664-3293
Phone (360) 254-6161
400 NE Mother Joseph PL
Peacehealth Southwest Medical Center
Vancouver, WA 98664-3200
Phone (360) 514-2000
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA205750 | OR | MD | Physician Assistant |
| PA61541399 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists, P.C. | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Physician Assistant | Past | Accepting new patients |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1810 E 19th St
Ste 211
The Dalles, OR 97058
Phone (503) 292-1400
551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990
200 NE Mother Joseph Pl
Ste 110
Vancouver, WA 98664
Phone (360) 256-8584
Interoperability endpoints
- lbaliola21923@reboundmd.gardenplot.direct-ci.com
- linde.baliola.p1@direct.reboundmd.nextgenshare.com
- linde.baliolapac.p1@direct.reboundmd.nextgenshare.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1528383940
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
Physician Assistant
-
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1407887052
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1053959031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643293",
"telephone_number": "360-254-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALIOLA",
"first_name": "LINDE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA205750",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61541399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.