Ronald R. Balderach, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD-016672-E Issued in PA

Practice address

631 N Broad Street Ext
Grove City, PA 16127-4603

Phone

(724) 450-7196

Fax

(724) 450-7179

NPI assigned

Jul 31, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1518973833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N BROAD STREET EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274603",
            "telephone_number": "724-450-7196",
            "fax_number": "724-450-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROAD STREET EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274603",
            "telephone_number": "724-450-7196",
            "fax_number": "724-450-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERACH",
        "first_name": "RONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-016672-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005932120008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Keith Appel, D.M.D.
• Armando C. Sciullo, DO, PC
• Adam Atwell, DPT
• Laxmi Tejaswi Avula, MD
• Rock Baker
• Emily Elenna Barton
• Kelly Barton
• Francis J Bassani Sr., D.O.
• Batchelet Eye, LLC (Batchelet Eye Surgical Solutions)
• Andrew Richard Batchelet, M.D.

• Surgery Physician in Grove City, PA
• Providers in Grove City, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.