Richard Atwater Balderston, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

MD020871E Issued in PA

Practice address

601 Walnut St
Suite L50
Philadelphia, PA 19106-3323

Phone

(215) 409-9300

Fax

(215) 409-9365

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aria Health Orthopaedics

  • Orthopaedic Surgery Physician
  • Langhorne, PA
  • NPI 1376895342
  NPD (past)
• Gni Neuroservices LLC

  • Neurological Surgery Physician
  • Lawrenceville, NJ
  • NPI 1851794903
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1265476386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-1672",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191781672",
            "telephone_number": "215-269-6700",
            "fax_number": "215-269-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WALNUT ST",
            "address_2": "SUITE L50",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063323",
            "telephone_number": "215-409-9300",
            "fax_number": "215-409-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERSTON",
        "first_name": "RICHARD",
        "middle_name": "ATWATER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "PA",
            "license": "MD020871E",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "25MA06837200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I.B.C.",
            "identifier": "0052425000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2069868",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Balczarek
• Josephine M Baldassano-Fields
• Claudia F Baldassano, MD
• Robert N Baldassano, M.D.
• Michael P Baldassari
• Baldino Southwest Family Practice
• Anna Rita Baldino, DO
• Michaela Maria Baldino, CRNP
• Sarah Elizabeth Baldino, MS LCGC
• Vincent E Baldino, D.O.

• Orthopaedic Surgery of the Spine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopaedic Surgery of the Spine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.