Ganapathy Bala MD LLC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

36577 Issued in CO

Legal business name

GANAPATHY BALA MD LLC

Practice address

1315 S Pueblo Blvd
Pueblo, CO 81005-2191

Phone

(719) 561-9757

Fax

(719) 561-9764

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ganapathy Bala, M.D.

Title

Owner

Phone

(719) 561-9757

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALLERGY AND ASTHMA CENTER Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance R Batson, FNP C

  • Nurse Practitioner
  • Canon City, CO
  • NPI 1306804976
  NPD (past)
• Robert D McCurry, D.O.

  • Family Medicine Physician
  • Canon City, CO
  • NPI 1285634121
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1912916529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-9757",
            "fax_number": "719-561-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052191",
            "telephone_number": "719-561-9757",
            "fax_number": "719-561-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANAPATHY BALA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BALA",
        "authorized_official_first_name": "GANAPATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-561-9757",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CO",
            "license": "36577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07835744",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLERGY AND ASTHMA CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Maria Gallegos, NP
• Tina Gallegos
• Venice Gallegos, M.A.
• Anne Galvin-Soto
• Maryann Cecelia Katherine Gamble, M.D.
• Tim Joseph Gangel, MPT
• Lori Ann Ganni, MT.0020842
• Jacy Gansz-Torres, FNP
• Erin Amanda Gansz, LPC
• Kari Dawn Gant, LPC

• Allergy Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Allergy Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.