Individual provider Active NPI

John Allan Balazs, DO

  • Otolaryngology Physician
  • Dayton, OH
National Provider Identifier
1700954526
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34002666 Issued in OH
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040012500OtherOHMEDICARE/RAILROAD
0383446MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080825000260 OH Practitioner - OtolaryngologyPractitioner - Allergy/ImmunologyPractitioner - Plastic and Reconstructive Surgery 5890860944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology, Plastic and Reconstructive Surgery
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Alway Balazs and Associates IncGroup PAC ID 1456426592, 2 clinicians

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

LicenseStateTypeSpecialty
34002666OHMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Alway Balazs and Associates Inc Otolaryngic Allergy CurrentSince Aug 1, 1981 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.