Jamal Balouch, DO PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MEDPHYSLIC34171 Issued in MT

Legal business name

JAMAL BALOUCH, DO PC

Doing business as

Jamal Balouch, DO PC

Practice address

1130 17TH Ave S
Great Falls, MT 59405-4523

Phone

(406) 771-4500

NPI assigned

Jan 13, 2015

Last updated

Jan 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamal Balouch, M.D.

Title

Owner

Phone

(406) 771-4500

Specialties & licenses 1

Addresses

Other names 1

• Jamal Balouch, DO PC Doing business as

Locations

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1770972812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COMMERCE CENTER DR",
            "address_2": "# D44",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142335",
            "telephone_number": "702-566-5343",
            "fax_number": "702-566-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 17TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054523",
            "telephone_number": "406-771-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL BALOUCH, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "BALOUCH",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-771-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "MEDPHYSLIC34171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jamal Balouch, DO PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilie Sue Jacobsen, MD
• Leah M Jacobsen, AU.D., CCC-A
• Daniel Wade Jacobson, RPH
• Victoria Jager, LCPC, LAC
• Venkatesh Jairam, MD
• Amy Jo Jamieson
• Janine Hieb Lac LCPC
• Robinette Louise Jankiewicz, CRNA
• Michael A Jasumback, MD
• Gary Scott Jaynes, LAC

• Physical Medicine & Rehabilitation Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Physical Medicine & Rehabilitation Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.