Kyle C Balch, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME74445 Issued in FL

Practice address

6717 NW 11TH Place Suite a
Ste a
Gainesville, FL 32605-4233

Phone

(352) 331-7811

Fax

(352) 331-3219

NPI assigned

Jun 24, 2005

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

Other identifiers 2

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

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Gainesville Eye Physicians PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1437264215
  Medicare reassignment NPD
• Gainesville Eye Physicians PA

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1992846471
  NPD Authorized official
• North Florida Cataract Specialists and Vision Care LLC

  • Ophthalmology Physician
  • Newberry, FL
  • NPI 1043564982
  NPD
• Eye Center of North Florida, P.a.

  • Ambulatory Surgical Clinic/Center
  • Panama City, FL
  • NPI 1447279369
  NPD (past)
• Eye Center of North Florida, P.a.

  • Optometrist
  • Port St Joe, FL
  • NPI 1912002395

  Ophthalmology

  NPD (past)
• Lange Eye Care & Assoc.

  • Optometrist
  • Gainesville, FL
  • NPI 1821256025
  NPD (past)
• Vision Professionals

  • Optometrist
  • Dothan, AL
  • NPI 1700819240

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1376549287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 NW 11TH PL",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054233",
            "telephone_number": "352-331-7811",
            "fax_number": "352-331-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 NW 11TH PLACE SUITE A",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054233",
            "telephone_number": "352-331-7811",
            "fax_number": "352-331-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCH",
        "first_name": "KYLE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME74445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "43418",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "273924",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Wellness & Counseling LLC
• Lakshmi Balasubramanian, MD
• Ryan Jeffrey Balbacal, APRN
• Maria Cecilia Balbuena, ARNP
• Jeremy Andrew Balch, MD
• Brent O Baldwin, MA
• Linda A Baldwin, LMT
• Maria Inslee Baldwin, ARNP
• Sarah Ann Baldwin, LICENSED MIDWIFE
• Tyler Baldwin, MD

• Ophthalmology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.