Eva Marie Balash, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35713 Issued in MA

Practice address

1153 Centre St
Ste 5G
Jamaica Plain, MA 02130

Phone

(617) 522-2779

Fax

(617) 522-5698

NPI assigned

Sep 11, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eva M. Balash, MD

  dba Boston Family Dermatology

  • Dermatology Physician
  • Jamaica Plain, MA
  • NPI 1073723367
  NPD Authorized official
• Boston University Dermatology, Inc.

  • Dermatology Physician
  • Boston, MA
  • NPI 1376532853
  NPD (past)
• Brigham and Womens Physicians Organization Inc

  dba dba Dept of Dermatology

  • Dermatology Physician
  • Boston, MA
  • NPI 1083647648
  NPD (past)
• Evans Medical Foundation, Inc.

  dba Boston University Internal Medicine Associates

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1912954124
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1952405045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "STE 5G",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-983-7324",
            "fax_number": "617-983-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "STE 5G",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02130",
            "telephone_number": "617-522-2779",
            "fax_number": "617-522-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASH",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "35713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "035713",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3045048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "4321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaia Bagordo
• Lisa Bailey-Laguerre, MA INTERN
• Virginia Rush Bailey, LICSW
• Charlotte Baillieul, CNP, RN, LICSW
• Gina Baird, M.S.W., LICSW
• Oyenike Balogun
• Patrice Balunas, RN
• Dhirendra Singh Bana, M.D.
• Mateus J Barbosa, MS
• Donald Prescott Barker, M.D.

• Dermatology Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.