Organization Active NPI

W R Balash MD

  • Internal Medicine Physician
  • Natrona Heights, PA
National Provider Identifier
1639161375
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 025487-L Issued in PA
Legal business name
W R BALASH MD
Practice address
1623 Union Avenue
Natrona Heights, PA 15065
Phone
(724) 224-9300
Fax
(724) 224-7420
NPI assigned
Aug 18, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. William Richard Balash, MD
Title
Physician/President
Phone
(724) 224-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 025487-L PA Primary

Addresses

Primary practice location

1623 Union Avenue
Natrona Heights, PA 15065

Mailing address

1623 Union Avenue
Natrona Heights, PA 15065
Phone (724) 224-9300

Other identifiers 7

IdentifierTypeStateIssuer
010119OtherPACLINICAL LAB PERMIT
DG9818OtherPAPALMETTO GBA
1946404OtherPAHIGHMARK BLUE SHIELD
39D0175563OtherPACLIA
101572OtherBLACK LUNG
0088188OtherUMWA
0000956408MedicaidPA

National Provider Directory

National Provider Directory

Locations

1623 Union Ave
Natrona Heights, PA 15065
Phone (724) 224-9300

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639161375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 UNION AVENUE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-9300",
            "fax_number": "724-224-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 UNION AVENUE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-9300",
            "fax_number": "724-224-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W R BALASH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BALASH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "724-224-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 025487-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LAB PERMIT",
            "identifier": "010119",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG9818",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1946404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D0175563",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "101572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0088188",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000956408",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.