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Organization
JOHN BALKO AND ASSOCIATES INC
Active
Organization
JOHN BALKO AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALKO AU.D. (PHYSICIAN OWNER)
(866) 758-4862
Entity
Organization
Contact information
Practice address
102 NORTH KEEL RIDGE ROAD, HERMITAGE, PA 16148-3440
(866) 758-4862
(330) 758-4886
Mailing address
102 NORTH KEEL RIDGE ROAD, HERMITAGE, PA 16148-3440
(866) 758-4862
(330) 758-4886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OE6726-T
PA
207Q00000X
Family Medicine Physician
Primary
34-00-4454D
PA
213E00000X
Podiatrist
36-00-3012-I
PA
231H00000X
Audiologist
AT-001085-L
PA
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361347
ANTHEM SENIOR ADVANTAGE
—
01
—
000817313
BCBS WEST VIRGINIA
WV
01
—
001547617
BLUE CROSS
PA
05
—
01871076
—
NY
01
—
0589118
AETNA HMO
OH
01
—
0589118
AETNA
—
05
—
1007545590017
—
PA
05
—
1007545590018
—
PA
05
—
1007545590020
—
PA
01
—
1150680001
MEDICARE DME
OH
01
—
1500751
GATEWAY PA
PA
05
—
200426060A
—
KS
05
—
200552880A
—
KS
01
—
2068337
MEDICAID DME OHIO
OH
05
—
2068337
—
OH
05
—
3810014011
—
WV
01
—
39377011
BCBS KANSAS
KS
05
—
504036005
—
MO
01
—
817050
BLUE CROSS
PA
01
—
817220
BLUE CROSS
PA
01
—
891755
BLUE CROSS
PA
01
—
DG3107
RAILROAD MEDICARE
MO
01
—
DO1166
RAILROAD MEDICARE
WV
01
—
DO8546
RAILROAD MEDICARE
KS
05
—
OP11670
—
MI
Enumeration date
06/24/2005
Last updated
01/31/2013
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