Ferdinand & Eresvita Balatico MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD14111 Issued in TN

Legal business name

FERDINAND & ERESVITA BALATICO MD PC

Practice address

1109 E College St
Pulaski, TN 38478-4520

Phone

(931) 363-8823

Fax

(931) 363-1894

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eresvita Balatico, M.D.

Title

Business Manager

Phone

(931) 363-8823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1649280264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780735",
            "telephone_number": "931-363-8823",
            "fax_number": "931-363-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784520",
            "telephone_number": "931-363-8823",
            "fax_number": "931-363-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERDINAND & ERESVITA BALATICO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BALATICO",
        "authorized_official_first_name": "ERESVITA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "931-363-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "MD14111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Ann Evans, M.S.
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• Augustus William Fischer, DDS
• Brandon Matt Fleming, DPT
• Armando Cabot Foronda, M.D.
• Jeremy Ray Fralix, MA CCC-SLP
• Gregory Alan Francis, DPH.

• Gastroenterology Physician in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Gastroenterology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.