Edward James Ballantine, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

130238-1 Issued in NY

Practice address

56 Kingsboro Ave
Gloversville, NY 12078-3411

Phone

(518) 725-8834

NPI assigned

Jul 25, 2006

Last updated

Dec 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1851314447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783411",
            "telephone_number": "518-725-8834",
            "fax_number": "518-773-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783411",
            "telephone_number": "518-725-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLANTINE",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "130238-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen M Baker, NURSE PRACTITIONER
• Stephanie Bakyta, LCSW-R
• Balanced Health Physical Therapy
• Clifford Keith Balch, RPH
• Sandra Ellan Baldwin, MS, RD
• Michael H Ballester
• Neove Banares
• June Brouillard Barber, NP
• William Kenneth Barnett Jr., RN
• Crystal Barton

• Orthopaedic Surgery Physician in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.