Individual provider Active NPI

Mischel D Balazs, CNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1346435559
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA09578 Issued in OH
Practice address
2142 N Cove Blvd
5 Floor
Toledo, OH 43606-3895
Phone
(419) 291-4225
Fax
(419) 479-6193
NPI assigned
Sep 11, 2007
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA09578 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
5 Floor
Toledo, OH 43606-3895

Mailing address

2142 N Cove Blvd
5 Floor
Toledo, OH 43606-3895
Phone (419) 291-4225

Other identifiers 3

IdentifierTypeStateIssuer
000000532495OtherOHANTHEM
2857565MedicaidOH
48473OtherMIHEALTH PLAN OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000008 OH Practitioner - Nurse Practitioner 3577639913 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA09578OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince Apr 19, 2019 Accepting new patients
Promedica Children's Specialists CurrentSince Dec 27, 2023 Accepting new patients
The Toledo Hospital Current Accepting new patients
The Toledo Hospital CurrentSince Apr 19, 2019 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2142 N Cove Blvd
#5
Toledo, OH 43606
Phone (419) 291-7815

2142 N Cove Blvd
Fl 5
Toledo, OH 43606

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1346435559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "5 FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4225",
            "fax_number": "419-479-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "5 FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4225",
            "fax_number": "419-479-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZS",
        "first_name": "MISCHEL",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA09578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000532495",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857565",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "48473",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.