Marlon Romero Balauag, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60149319 Issued in WA

Practice address

13020 Meridian Ave S
Everett, WA 98208-6468

Phone

(425) 357-3700

Fax

(425) 357-3701

NPI assigned

Jun 1, 2010

Last updated

Oct 7, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: marlon.balauag.1@19957.direct.athenahealth.com
• Direct secure messaging: mbalauag1041068@wm.providencedirect.org

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1437479409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "425-357-3700",
            "fax_number": "425-357-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAUAG",
        "first_name": "MARLON",
        "middle_name": "ROMERO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60149319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbalauag1041068@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13020 Meridian Ave S",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982086468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seanna Dawn Baker, DBHR CERT PEER
• Trenton L Baker, PA-C
• Anastasia Bakulina, MD
• Amandeep Kaur Bal
• Britani Ann Balasa, BA
• Elizabeth A Baldwin, PT
• Selma Balk, OT
• Dana Christine Ball, PA-C
• Desiree Ballesteros, NP
• Lynn Bamberger, D.C.

• Family Medicine Physician in Everett, WA
• Providers in Everett, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.