# JOHN BALKO AND ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932105996
- **Authorized official:** JOHN BALKO AU.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (866) 758-4862

## Contact information

- **Practice address:** 102 NORTH KEEL RIDGE ROAD, HERMITAGE, PA 16148-3440
- **Practice address phone:** (866) 758-4862
- **Practice address fax:** (330) 758-4886
- **Mailing address:** 102 NORTH KEEL RIDGE ROAD, HERMITAGE, PA 16148-3440
- **Mailing address phone:** (866) 758-4862
- **Mailing address fax:** (330) 758-4886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OE6726-T | PA | — |
| 207Q00000X | Family Medicine Physician | 34-00-4454D | PA | Yes |
| 213E00000X | Podiatrist | 36-00-3012-I | PA | — |
| 231H00000X | Audiologist | AT-001085-L | PA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 01/31/2013

## 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 |