Gary Allen Balster, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-05-1153-B Issued in OH

Practice address

2218 S Patterson Blvd
Dayton, OH 45409-1930

Phone

(937) 299-1918

Fax

(937) 299-4832

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881696300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091930",
            "telephone_number": "937-299-1918",
            "fax_number": "937-299-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091930",
            "telephone_number": "937-299-1918",
            "fax_number": "937-299-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSTER",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-05-1153-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0591248",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Scott Ballin, D.O.
• Comfort Olufolake Balogun
• Joseph Daniel Leal Balon
• Mackynsi Elaine Balsley
• Michael Allen Balsley, MSW, LSW
• Kimberly Baltzell, CNS
• Meghan Blaine Baltzell, LCSW
• Atul N Balwally, MD
• Katelynn Marie Bamberg, STNA
• H. Brent Bamberger, D. O.

• Psychiatry Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.