Carriage House Medical Specialties

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007522L Issued in PA

Legal business name

CARRIAGE HOUSE MEDICAL SPECIALTIES

Practice address

116 Mechanic St
Spartansburg, PA 16434-1026

Phone

(814) 654-7334

Fax

(814) 654-7553

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia M Balmer

Title

Owner

Phone

(814) 654-7334

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1609291459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MECHANIC ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164341026",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MECHANIC ST",
            "city": "SPARTANSBURG",
            "state": "PA",
            "postal_code": "164341026",
            "telephone_number": "814-654-7334",
            "fax_number": "814-654-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE HOUSE MEDICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BALMER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-654-7334"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS007522L",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS015735",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007522L",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "0S015735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Balmer Jr., D.O.
• William Jay Blazes, DO
• Constance S Coverdale, LPN
• Carrie L English, CRNP
• Eric Fuss, PA-C
• Amy Marie Gray, LPC
• Kristen Marie Grippe, PA-C

• Family Medicine Physician in Spartansburg, PA
• Providers in Spartansburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.