Thomas M Balestreri, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00035338 Issued in WA

Practice address

1211 24TH St
Anacortes, WA 98233

Phone

(360) 293-3181

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nicholas S Muff MD PS

  • Specialist
  • Sedro Woolley, WA
  • NPI 1245325950
  NPD (past)
• Whidbey Island Public Hospital District

  • Clinical Social Worker
  • Desert Hot Springs, CA
  • NPI 1518819341
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1093807117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390189",
            "telephone_number": "360-678-4071",
            "fax_number": "360-678-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "98233",
            "telephone_number": "360-293-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALESTRERI",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00035338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DLI",
            "identifier": "0123267",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "36350",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeren Babcock, PHARMD
• Angela Rose Babos, SUDP
• Mark Backman, M.D.
• Kimberly A Baker, CP61009456
• Balanced Life Spa
• Richard Baluyot, DO
• Kathryn Elieen Barnhart
• Giszelle Roberta Barr, RN, BSN
• Donald Haldeman Baumer III, ARNP
• Alana C Bayer, CRNA

• Anesthesiology Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.