Arthur K. Balin, MD, PHD, PC
Organization Active NPI Dermatology Physician · Media, PA
NPI 1154366557 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154366557
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ARTHUR K. BALIN, MD, PHD, PC
- Practice address
- 110 Chesley Dr
Media, PA 19063-1755 - Phone
- (610) 565-3300
- Fax
- (610) 565-9909
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Arthur Kirsner Balin, MD
- Title
- President
- Phone
- (610) 565-3300
Practitioners 2
-
Arthur Kirsner Balin, MD, PHD
-
Loretta A Pratt, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0195312 | Arthur K Balin MD PHD PC Lab | Compliance | Jul 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000472 | PA | Part B Supplier - Clinic/Group Practice | 9739166547 |
Receives reassigned benefits from 2 practitioners Practice locations: Media, PA |
National Provider Directory
Locations
110 Chesley Dr
Media, PA 19063
Phone (610) 565-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
110 Chesley Dr
Media, PA 19063-1755
Mailing address
110 Chesley Dr
Media, PA 19063-1755
Phone (610) 565-3300
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.