Eugene S Balkovec, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34001954 Issued in OH

Practice address

15003 Turney Rd
Maple Heights, OH 44137-4730

Phone

(216) 640-9525

NPI assigned

Oct 3, 2006

Last updated

Jul 30, 2013By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Maple Family Physicians Inc

  • Family Medicine Physician
  • Maple Heights, OH
  • NPI 1376645176
  NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1245324268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670629",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440670629",
            "telephone_number": "216-640-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15003 TURNEY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441374730",
            "telephone_number": "216-640-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKOVEC",
        "first_name": "EUGENE",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34001954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000136584",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171648",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791011214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "T01954",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Billing and Notary
• Kaniesha Bailey
• Sherice Renee Bailey, BA, RBT
• Diane Carroll Baker Jonel
• Dale A Balkovec, DO
• Stacy Swati Banerjee, M.D.
• Monsurat Bankole, LPN
• Carmalita Banks
• Barksdale Health Solutions
• Ashley Marie Barksdale

• Family Medicine Physician in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.