Balanced Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34007781S Issued in OH

Legal business name

BALANCED MEDICINE LLC

Practice address

29002 Rockstull Rd
Sugar Grove, OH 43155-9644

Phone

(740) 746-0453

Fax

(740) 743-0453

NPI assigned

Dec 5, 2006

Organization subpart

No

Name

Mrs. Gabriela B Goss, DO

Title

Sole Proprietor

Phone

(740) 746-0453

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2008.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1891853271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29002 ROCKSTULL RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559644",
            "telephone_number": "740-746-0453",
            "fax_number": "740-743-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29002 ROCKSTULL RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "431559644",
            "telephone_number": "740-746-0453",
            "fax_number": "740-743-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "740-746-0453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34007781S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berne Township Clerk
• Berne Union Local School District
• Bryan Michael Bumgardner, LPN
• Sandra Lynn Crozier
• Amber Annette Dennis, CPM

• All providers in Sugar Grove, OH
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.