Balance Medical, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BALANCE MEDICAL, INC.

Practice address

1019 Waterwood Pkwy Ste E-14
Edmond, OK 73034-5332

Phone

(405) 369-3504

Fax

(405) 337-9639

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Justin Henson

Title

Owner

Phone

(405) 369-3504

Specialties & licenses 2

Addresses

Other names 1

• Balance Medical, LLC Former legal business name

Locations

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587859200000",
    "number": "1235612235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 WATERWOOD PKWY STE E-14",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345332",
            "telephone_number": "405-369-3504",
            "fax_number": "405-337-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WATERWOOD PKWY STE E-14",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345332",
            "telephone_number": "405-369-3504",
            "fax_number": "405-337-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2020-04-26",
        "certification_date": "2020-04-26",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-369-3504"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Medical, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robert Orrin Baird, DDS
• Antoan Baker
• John Robert Baker, BUILDER/REMODELER
• Raymond N Baker
• Samuel Baker
• Balance Psychiatry & Wellness PLLC
• Balance Psychological Services PLLC
• Douglas Ball, OTA
• Tom Kirby Ball, DDS
• Bonnie Chadwick Ballantine, LCSW

• Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2020; 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.