Active NPI
John Allan Balazs, DO
- Otolaryngology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34002666
- Practice address
- 425 W Grand Avenue
Suite 2003
Dayton, OH 45405-4722 - Phone
- (937) 723-5888
- Fax
- (937) 226-0825
- NPI assigned
- Dec 1, 2006
- Last updated
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34002666 | OH | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | 34002666 | OH | |
| Otolaryngic Allergy Physician | 207YX0602X | 34002666 | OH |
Addresses
Primary practice location
425 W Grand Avenue
Suite 2003
Dayton, OH 45405-4722
Mailing address
9279 Ash Hollow Lane
Centerville, OH 45458
Phone (937) 885-4933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040012500 | Other | OH | MEDICARE/RAILROAD |
| 0383446 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 W National Rd
Vandalia, OH 45377-1934
Phone (937) 723-5888
425 W Grand Ave
Suite 2003
Dayton, OH 45405-4722
Phone (937) 723-5888
450 Washington Jackson Rd
Suite 112
Eaton, OH 45320-7600
Phone (937) 723-5888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002666 | OH | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Alway Balazs and Associates Inc | Otolaryngic Allergy | Current | Accepting new patients |
Locations
1989 Miamisburg Centerville Rd
Ste 304
Dayton, OH 45459
Phone (937) 223-6837
425 W Grand Ave
Ste 2003
Dayton, OH 45405
Phone (937) 723-5888
450 Washington Jackson Rd
Ste 112
Eaton, OH 45320
Phone (937) 226-7888
450B Washington Jackson Rd
Ste 112
Eaton, OH 45320
Phone (513) 829-7133
113 W National Rd
Ste 200
Vandalia, OH 45377
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngic Allergy Physician
- Dayton, OH
- NPI 1134391303
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1700954526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9279 ASH HOLLOW LANE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-885-4933",
"fax_number": "937-885-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W GRAND AVENUE",
"address_2": "SUITE 2003",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054722",
"telephone_number": "937-723-5888",
"fax_number": "937-226-0825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAZS",
"first_name": "JOHN",
"middle_name": "ALLAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "34002666",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "OH",
"license": "34002666",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "OH",
"license": "34002666",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE/RAILROAD",
"identifier": "040012500",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0383446",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.