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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

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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