Paul James Balzer Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD11465 Issued in ME

Practice address

15 Gracelawn Rd
Suite 103
Auburn, ME 04210-6334

Phone

(207) 330-3950

Fax

(207) 330-3950

NPI assigned

Dec 1, 2005

Last updated

Jul 15, 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

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Fal River Health Center

  • Family Medicine Physician
  • Falmouth, ME
  • NPI 1720195324
  NPD (past) Authorized official
• Paul J Balzer, MD

  • Addiction Medicine (Family Medicine) Physician
  • New Gloucester, ME
  • NPI 1518155969
  NPD (past) Authorized official
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  NPD (past)
• St. Mary's Regional Medical Center

  dba St. Mary's d'Youville Pavilion

  • Skilled Nursing Facility
  • Lewiston, ME
  • NPI 1952306524
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1295719391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1638",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122011638",
            "telephone_number": "207-777-4111",
            "fax_number": "207-783-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GRACELAWN RD",
            "address_2": "SUITE 103",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106334",
            "telephone_number": "207-330-3950",
            "fax_number": "207-330-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALZER",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD11465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger N. Austin, M.D.
• Lee Averill, ATC, LAT, CSCS
• Rachel Averill
• Milton Ayer, LCPC
• Megan Bailey
• Stephan O. Bamberger, MD
• Evan Thomas Barden, LADC
• Susan Barnes
• Bernadette M Barr, MOTR/L
• Zahra Barreh

• Family Medicine Physician in Auburn, ME
• Providers in Auburn, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.