David J Balison, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34482 Issued in WI

Practice address

2941 S Ridge Rd
Green Bay, WI 54304-5517

Phone

(920) 336-4096

Fax

(920) 336-8093

NPI assigned

Nov 29, 2006

Last updated

May 4, 2009By 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 1

Medicare fee-for-service enrollment

Enrolled in WI, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

University of Utah School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Bay Radiology SCGroup PAC ID 7113908310, 24 clinicians

St Vincent Hospital-Hospital Sisters-Third Order of St FrancisGroup PAC ID 5799694675, 593 clinicians

Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

St. Nicholas Hospital-Sisters of the Third Order of St FrancisGroup PAC ID 8325931652, 178 clinicians

Madison Radiologists S CGroup PAC ID 1951209311, 58 clinicians

Beloit Radiology LTDGroup PAC ID 3274559711, 54 clinicians

GBR Sheboygan LLCGroup PAC ID 1951341064, 22 clinicians

Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians

Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
• St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
• St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
• Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
• Southwest Health Center Hospital, Platteville, WI, CCN 521354

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Beloit Radiology LTD

  • Diagnostic Radiology Physician
  • Beloit, WI
  • NPI 1386661734
  Medicare reassignment Care Compare group NPD
• Dean Health Systems, Inc

  dba SSM Health Dean Medical Group

  • Allergy & Immunology Physician
  • Madison, WI
  • NPI 1053358846

  Family Medicine

  Medicare reassignment Care Compare group NPD
• GBR Sheboygan LLC

  • Diagnostic Radiology Physician
  • Sheboygan, WI
  • NPI 1467529917
  Medicare reassignment Care Compare group NPD
• Green Bay Radiology SC

  • Diagnostic Radiology Physician
  • Green Bay, WI
  • NPI 1447327986
  Medicare reassignment Care Compare group NPD
• Madison Radiologists S C

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1871573725
  Medicare reassignment Care Compare group NPD
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  Medicare reassignment Care Compare group NPD
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis

  dba Prevea Health

  • General Practice Physician
  • Green Bay, WI
  • NPI 1285613638

  Family Medicine

  Medicare reassignment Care Compare group NPD
• St. Nicholas Hospital-Sisters of the Third Order of St Francis

  dba Prevea Sheboygan Health Center

  • Internal Medicine Physician
  • Sheboygan, WI
  • NPI 1275799413

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496

  WI

  Medicare reassignment Care Compare group NPD
• Prevea Clinic, Inc.

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1306869276

  Family Medicine

  Medicare reassignment NPD
• Lucidsolutions, Inc.

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1518594480

  NV, WI

  Medicare reassignment NPD
• Dean Health Systems, Inc.

  dba SSM Health Davis Duehr Dean Eye Care - Portage

  • Durable Medical Equipment & Medical Supplies
  • Portage, WI
  • NPI 1427085679
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Door County Memorial Hospital

  dba Door County Medical Center

  • Critical Access Hospital
  • Sturgeon Bay, WI
  • NPI 1093743874
  Care Compare affiliation
• Door County Memorial Hospital

  dba Door County Medical Center Lab

  • Clinical Medical Laboratory
  • Sturgeon Bay, WI
  • NPI 1811090285

  Hospital

  Care Compare affiliation
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Care Compare affiliation
• St Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1649246877
  Care Compare affiliation
• St Nicholas Hospital-Sisters of the Third Order of St. Francis

  dba St. Nicholas Hospital Renal Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sheboygan, WI
  • NPI 1427009992

  Hospital

  Care Compare affiliation
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis

  dba St Vincent Hospital

  • General Acute Care Hospital
  • Green Bay, WI
  • NPI 1114908001
  Care Compare affiliation
• St. Nicholas Hospital-Sisters of the Third Order of St Francis

  dba St Nicholas Hospital

  • General Acute Care Hospital
  • Sheboygan, WI
  • NPI 1730184342
  Care Compare affiliation
• St. Vincent Hospital-Hospital Sisters-Third Order of St Francis

  dba St. Vincent Regional Cancer Center

  • Hematology & Oncology Physician
  • Sheboygan, WI
  • NPI 1831784636

  Hospital

  Care Compare affiliation
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis

  dba St. Vincent Regional Cancer Center

  • Hematology & Oncology Physician
  • Green Bay, WI
  • NPI 1184004236

  Hospital

  Care Compare affiliation
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis

  dba St. Vincent Regional Cancer Center

  • Hematology & Oncology Physician
  • Oconto Falls, WI
  • NPI 1750760740

  Hospital

  Care Compare affiliation
• St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis

  dba St. Vincent Regional Cancer Center

  • Hematology & Oncology Physician
  • Sturgeon Bay, WI
  • NPI 1760861751

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1245307719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045517",
            "telephone_number": "920-336-4096",
            "fax_number": "920-336-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045517",
            "telephone_number": "920-336-4096",
            "fax_number": "920-336-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALISON",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "34482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32250800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Recovery Counseling and Consultation LLC
• Balanced Recovery Counseling and Consultation LLC
• Taylor Marie Baldridge, OTR/L
• Alyssa Baldwin
• Tamara A Baldwin, APNP
• Lissa Balison, MSE, LPC
• Nathan W Balk, CRNA
• Jill Ball, DPT
• Elisabeth V Ballard, MD
• Bela R. Ballo, MD

• Diagnostic Radiology Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.