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David J Balison, MD

Individual provider Active NPI Diagnostic Radiology Physician · Green Bay, WI

NPI 1245307719 · NPPES record last updated May 4, 2009

Key facts

NPI
1245307719
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
34482 (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
Sex
Male
Sole proprietor
No

Organizations & group practices 52

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 52

Hospital & facility affiliations 11

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

Medicare Care Compare profile

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 SC (24 clinicians)
St Vincent Hospital-Hospital Sisters-Third Order of St Francis (593 clinicians)
Dean Health Systems Inc (1,174 clinicians)
St. Nicholas Hospital-Sisters of the Third Order of St Francis (178 clinicians)
Madison Radiologists S C (58 clinicians)
Beloit Radiology LTD (54 clinicians)
GBR Sheboygan LLC (22 clinicians)
Radiology Associates of the Fox Valley SC (73 clinicians)
Riverside Radiology and Interventional Associates Inc (251 clinicians)

Practice addresses (Care Compare)

101 Cherry St
Unit 405
Green Bay, WI 54301-4247
Phone (614) 340-7740

101 School Creek TRL
Luxemburg, WI 54217-1095
Phone (920) 496-4700

1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone (920) 496-4700

1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000

1300 E Green Bay St
Shawano, WI 54166-2210
Phone (920) 496-4700

1409 Cleveland Ave
Marinette, WI 54143-3918
Phone (920) 496-4700

1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

1686 Eisenhower Rd
De Pere, WI 54115-8145
Phone (920) 496-4700

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 496-4700

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5269

2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone (920) 496-4700

2793 Lineville Rd
Green Bay, WI 54313-7152
Phone (920) 496-4700

3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 496-4700

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710

3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566

3860 Monroe Rd
De Pere, WI 54115-8399
Phone (920) 496-4700

4532 Algonquin TRL
Green Bay, WI 54313-9527
Phone (614) 340-7740

4810 Expo Dr
Manitowoc, WI 54220-9341
Phone (920) 717-0800

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 496-4700

950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150

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 participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI, NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031231000285 WI Practitioner - Diagnostic Radiology 1850290685 Reassigns benefits to 11 organizations
I20241230003326 NV Practitioner - Diagnostic Radiology 1850290685 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
GBR Sheboygan LLC Diagnostic Radiology Current
since May 1, 2005		 Accepting new patients
Dean Health Systems, Inc Family Medicine Current
since Jul 28, 2022		 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Current
since Sep 1, 2009		 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology Current
since Dec 1, 2023		 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Family Medicine Current Accepting new patients
Prevea Clinic, Inc. Family Medicine Current
since Feb 1, 2007		 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Current
since Apr 1, 2023		 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Family Medicine Current
since Sep 1, 2009		 Accepting new patients
Lucidsolutions, Inc. Diagnostic Radiology Current
since Mar 16, 2024		 Accepting new patients
Prevea Clinic, Inc. Family Medicine Current
since Feb 1, 2007		 Accepting new patients
Green Bay Radiology SC Diagnostic Radiology Current
since Apr 13, 1998		 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology Current
since Jul 1, 2022		 Accepting new patients
Madison Radiologists S C Diagnostic Radiology Current
since Jul 1, 2022		 Accepting new patients
Dean Health Systems, Inc. Current
since Jul 28, 2022		 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current
since Feb 20, 2011		 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Current
since Feb 20, 2011		 Accepting new patients
Prevea Regional Services, Inc. Family Medicine Past Accepting new patients

Locations

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (412) 359-8743

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096

1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

525 Airport Dr
Oneida, WI 54155
Phone (920) 869-2711

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34482 WI Yes

Addresses

Primary practice location

2941 S Ridge Rd
Green Bay, WI 54304-5517

Mailing address

2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone (920) 336-4096

Other identifiers

IdentifierTypeStateIssuer
32250800MedicaidWI

Other providers in Green Bay, WI

All providers in Green Bay, WI · Diagnostic Radiology Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.