Active NPI
W R Balash MD
- Internal Medicine Physician
- Natrona Heights, PA
National Provider Identifier
1639161375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 025487-L
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010119 | Other | PA | CLINICAL LAB PERMIT |
| DG9818 | Other | PA | PALMETTO GBA |
| 1946404 | Other | PA | HIGHMARK BLUE SHIELD |
| 39D0175563 | Other | PA | CLIA |
| 101572 | Other | BLACK LUNG | |
| 0088188 | Other | UMWA | |
| 0000956408 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.