Emmet Hezekiah Balch III, MD
Individual provider Active NPI Diagnostic Radiology Physician · Hurst, TX
NPI 1568464147 · NPPES record last updated Aug 18, 2016
Key facts
- NPI
- 1568464147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- F9163 (TX)
- Practice address
- 1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109 - Phone
- (817) 336-4638
- Fax
- (817) 336-1331
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singleton Associates PA
Practice addresses (Care Compare)
1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581
18951 Memorial N
Memorial Hermann Northeast Hospital
Humble, TX 77338-4217
Phone (281) 540-7700
18951 N Memorial Dr
Memorial Hermann N East Outp Img Dept
Humble, TX 77338-4217
Phone (281) 540-7700
2600 W Pleasant Run Rd
Crescent Regional Hospital
Lancaster, TX 75146-1114
Phone (469) 297-5321
6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544
801 W Interstate 20
Arlington, TX 76017-5851
Phone (713) 461-3573
9155 Grapevine Hwy
Suite 120
North Richland Hills, TX 76180-5671
Phone (713) 461-3573
9440 Poppy Dr
Dallas, TX 75218-3652
Phone (214) 324-6100
Hospital & facility affiliations
- Usmd Hospital at Arlington L P
- Crescent Medical Center Lancaster
- Memorial Hermann Hospital System
- Memorial Hermann Northeast Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050512000124 | TX | Practitioner - Diagnostic Radiology | 0446290100 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Consultants in Radiology PA | Diagnostic Radiology | Current |
Accepting new patients |
| Gateway Diagnostic Imaging Sherman, LLC | Current |
Accepting new patients | |
| Community Radiology Associates P a | Diagnostic Radiology | Past | Accepting new patients |
Locations
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
1845 Precinct Line Rd
Ste 209
Hurst, TX 76054
Phone (817) 336-4638
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | F9163 | TX | Yes |
Addresses
Primary practice location
1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Mailing address
1845 Precinct Line Rd Ste 209
Hurst, TX 76054-3109
Phone (817) 336-4638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124445102 | Medicaid | TX | |
| 80R342 | Other | TX | MEDICARE - PTAN |
NPI Registry JSON
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1568464147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 PRECINCT LINE RD STE 209",
"city": "HURST",
"state": "TX",
"postal_code": "760543109",
"telephone_number": "817-336-4638",
"fax_number": "817-336-1331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALCH",
"first_name": "EMMET",
"middle_name": "HEZEKIAH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "F9163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124445102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PTAN",
"identifier": "80R342",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
- Philip Morris Bailey
- Baker Family Eyecare, P.a.
- Alan W Baker
- Melissa Lynne Baker
- Randall Baker
- Jazmin Balderas
- Rachel Ballard
- Doris Bangura
- Lynette Denise Baptiste
- Aydee Barrera
All providers in Hurst, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.