Sam G Bala, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME36543 Issued in FL

Practice address

37840 Medical Arts CT
Zephyrhills, FL 33541-4325

Phone

(813) 788-5569

Fax

(813) 788-5569

NPI assigned

Aug 16, 2005

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1104818160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-788-5569",
            "fax_number": "813-788-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-788-5569",
            "fax_number": "813-788-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "SAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME36543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "081262",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "0624114",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "51137",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "10751",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1700023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "203008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moncef Baazaoui
• Melissa Marie Bahamonde, PHD
• Melissa C Bailey, PA-C
• Gregory Dean Baisden, ARNP
• Shauntae Alicia Baker, ARNP
• James B Ball Jr., M.D.
• Nusrat Bangash, APRN
• Rey Belga Baranda, P.T.
• Barbara H Czelusniak MD
• Raquel Cristina Barbosa, PT, DPT

• Surgery Physician in Zephyrhills, FL
• Providers in Zephyrhills, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.