Josephine N. Balatan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301032999 Issued in MI

Practice address

2888 W Grand Blvd
Detroit, MI 48202-2612

Phone

(313) 875-5378

Fax

(313) 875-5227

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1356428189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022411",
            "telephone_number": "313-202-8660",
            "fax_number": "313-202-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022612",
            "telephone_number": "313-875-5378",
            "fax_number": "313-875-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALATAN",
        "first_name": "JOSEPHINE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301032999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2830773",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krishna Balabhadrapatruni, MD
• Bryan Balaj
• Preetha Lakshmi Balakrishnan, M.D.
• Ann Balarezo, CNP
• Marivic Balasote, MSN,RNC,CNNP
• Rana Sami Balboul, MD
• Isabela Romeo Balde, RN
• Katherine Elizabeth Balderston, DO
• Marshall Balderston, DO
• Amber Baldridge

• Pediatrics Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.