Jacob Lee Baalman, M.D.
Individual provider Active NPI Emergency Medicine Physician · Blue Eye, MO
NPI 1831537570 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1831537570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2016013813 (MO)
- Practice address
- 94 Blue Nile LN
Blue Eye, MO 65611-7384 - Phone
- (316) 641-0561
- Fax
- (252) 744-4125
- NPI assigned
- Jun 4, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 42
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skaggs Community Hospital Association
Camden Emergency Group LLC
Practice addresses (Care Compare)
525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7000
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000
Hospital & facility affiliations
- Cox Medical Center Branson
- Lake Regional Health System
- North Arkansas Regional Medical Center
- Cox Monett Hospital
- Mercy Hospital Aurora
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161003001479 | MO | Practitioner - Emergency Medicine | 5496065021 | Reassigns benefits to 16 organizations |
| I20161010000427 | AR | Practitioner - Emergency Medicine | 5496065021 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9898 | AR | MD | Emergency Medicine Physician |
| 2016013813 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael S. Clarke, M.D., P.a. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Hospital Springfield | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Emergency Medicine | Current |
Accepting new patients |
| North Arkansas Regional Medical Center | Current |
Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Mercy Hospital Springfield | Current |
Accepting new patients | |
| Camden Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Mercy Hospital Carthage | Emergency Medicine | Current |
Accepting new patients |
| Skaggs Community Hospital Association | Emergency Medicine | Current |
Accepting new patients |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Cox-Monett Hospital, Inc. | Emergency Medicine | Current |
Accepting new patients |
| North Arkansas Regional Medical Center | Current |
Accepting new patients | |
| Skaggs Community Hospital Association | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Ozarks Medical Center | Current |
Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Mercy Hospital Berryville | Current |
Accepting new patients | |
| Ozark Health, Inc | Current | Accepting new patients |
Locations
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000
620 N Main St
Harrison, AR 72601
Phone (870) 365-2000
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2016013813 | MO | Yes |
| Emergency Medicine Physician | 207P00000X | E-9898 | AR |
Addresses
Primary practice location
94 Blue Nile LN
Blue Eye, MO 65611-7384
Mailing address
94 Blue Nile LN
Blue Eye, MO 65611-7384
Phone (316) 641-0561
Other providers in Blue Eye, MO
All providers in Blue Eye, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.