Individual provider Active NPI

Ghulam A Baloch

  • Driver
  • Youngstown, OH
National Provider Identifier
1336925171
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
985 Churchill Hubbard Rd Ste F
Youngstown, OH 44505-1338
Phone
(330) 366-3006
NPI assigned
Sep 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Homemaker 376J00000X
Driver 172A00000X Primary

Addresses

Primary practice location

985 Churchill Hubbard Rd Ste F
Youngstown, OH 44505-1338

Mailing address

1766 Waterford CT
Pittsburgh, PA 15241-3151
Phone (518) 257-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horixons Inc Non-Emergency Medical Transport (Van) CurrentSince Oct 1, 2023 Accepting new patients

Locations

4496 Mahoning Ave
Youngstown, OH 44515
Phone (234) 201-0797

985 Churchill Hubbard Rd
Ste F
Youngstown, OH 44505
Phone (330) 366-3006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1336925171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 WATERFORD CT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413151",
            "telephone_number": "518-257-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 CHURCHILL HUBBARD RD STE F",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051338",
            "telephone_number": "330-366-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOCH",
        "first_name": "GHULAM",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-12-02",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; 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.