Organization Active NPI

John C. Balcarek MD Health Services LLC

Doing business as Balcarek Family Medicine

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1699033704
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24129 Issued in AL
Legal business name
JOHN C. BALCAREK MD HEALTH SERVICES LLC
Doing business as
Balcarek Family Medicine
Practice address
600 St. Clair
Building 1, Suite 2
Huntsville, AL 35801
Phone
(256) 704-7325
Fax
(256) 270-8674
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
John C Balcarek, M.D
Title
President
Phone
(256) 704-7325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 24129 AL Primary

Addresses

Primary practice location

600 St. Clair
Building 1, Suite 2
Huntsville, AL 35801

Mailing address

600 St Clair
Building 1, Suite 2
Huntsville, AL 35801
Phone (256) 704-7325

Other identifiers 1

IdentifierTypeStateIssuer
24129OtherALSTATE OF ALABAMA MEDICAL LICENSE

Other names 1

  • Balcarek Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

600 Saint Clair Ave SW
Ste 2
Huntsville, AL 35801
Phone (256) 704-7325

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1699033704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ST CLAIR",
            "address_2": "BUILDING 1, SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-704-7325",
            "fax_number": "256-270-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ST. CLAIR",
            "address_2": "BUILDING 1, SUITE 2",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-704-7325",
            "fax_number": "256-270-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. BALCAREK MD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "BALCAREK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-704-7325",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALABAMA MEDICAL LICENSE",
            "identifier": "24129",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balcarek Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.