NPIMap

Organization Active NPI

Gary a Balster MD Inc

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1265446512
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35051153 Issued in OH
Legal business name
GARY A BALSTER MD INC
Practice address
2218 S Patterson Blvd
Dayton, OH 45409-1930
Phone
(937) 299-1918
Fax
(937) 299-4832
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Dr. Gary Allen Balster, M.D.
Title
President
Phone
(937) 299-1918

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 35051153 OH Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X 35051153 OH
Geriatric Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0805X 35051153 OH

Addresses

Primary practice location

2218 S Patterson Blvd
Dayton, OH 45409-1930

Mailing address

2218 S Patterson Blvd
Dayton, OH 45409-1930
Phone (937) 299-1918

National Provider Directory

National Provider Directory

Locations

2218 S Patterson Blvd
Kettering, OH 45409
Phone (937) 299-1918

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1265446512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091930",
            "telephone_number": "937-299-1918",
            "fax_number": "937-299-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091930",
            "telephone_number": "937-299-1918",
            "fax_number": "937-299-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A BALSTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BALSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-299-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35051153",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35051153",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35051153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.