NPIMap

Organization Active NPI

Parkland Physician Services, Inc

Doing business as DBA Dr. Alphonse J. Baluta, Jr.

  • Internal Medicine Physician
  • Londonderry, NH
National Provider Identifier
1801885256
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARKLAND PHYSICIAN SERVICES, INC
Doing business as
DBA Dr. Alphonse J. Baluta, Jr.
Practice address
184 Mammoth Rd
Londonderry, NH 03053-3254
Phone
(603) 434-9666
Fax
(603) 425-2973
NPI assigned
Oct 18, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Kenneth Washington
Title
VP
Phone
(703) 650-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

184 Mammoth Rd
Londonderry, NH 03053-3254

Mailing address

184 Mammoth Rd
Londonderry, NH 03053-3254
Phone (603) 434-9666

Other identifiers 1

IdentifierTypeStateIssuer
30214303MedicaidNH

Other names 1

  • DBA Dr. Alphonse J. Baluta, Jr. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkland Physician Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1801885256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 MAMMOTH RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533254",
            "telephone_number": "603-434-9666",
            "fax_number": "603-425-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 MAMMOTH RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533254",
            "telephone_number": "603-434-9666",
            "fax_number": "603-425-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHYSICIAN SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30214303",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Dr. Alphonse J. Baluta, Jr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Londonderry, NH

Sources for this page

  • 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.