Individual provider Active NPI

Marina Ballatin

  • Physician Assistant
  • Defiance, OH
National Provider Identifier
1225828676
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.010143RX Issued in OH
Practice address
1252 Ralston Ave Ste 302
Defiance, OH 43512-1480
Phone
(419) 783-6996
Fax
(419) 782-8062
NPI assigned
May 8, 2025
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.010143RX OH Primary

Addresses

Primary practice location

1252 Ralston Ave Ste 302
Defiance, OH 43512-1480

Mailing address

1252 Ralston Ave Ste 302
Defiance, OH 43512-1480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mballatin461344@direct.promedica.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003260 OH Practitioner - Physician Assistant 4880177070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1200 Ralston Ave
Defiance, OH 43512-1396
Phone (419) 783-6944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Promedica Central Physicians CurrentSince Mar 1, 2026 Accepting new patients

Locations

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1225828676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 RALSTON AVE STE 302",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 RALSTON AVE STE 302",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121480",
            "telephone_number": "419-783-6996",
            "fax_number": "419-782-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLATIN",
        "first_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.010143RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mballatin461344@direct.promedica.org",
            "affiliation": "N",
            "address_1": "1252 Ralston Ave Ste 302",
            "city": "Defiance",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435121480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.