1942299862 NPI number — BART WESLEY BALINT M.D.

Table of content: BART WESLEY BALINT M.D. (NPI 1942299862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942299862 NPI number — BART WESLEY BALINT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BALINT
Provider First Name:
BART
Provider Middle Name:
WESLEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942299862
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 39
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEYERS CAVE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24486-0039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-234-0080
Provider Business Mailing Address Fax Number:
540-234-8688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
54 FRANKLIN ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
WEYERS CAVE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24486-2340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-234-0080
Provider Business Practice Location Address Fax Number:
540-234-8688
Provider Enumeration Date:
10/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  0101053773 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 541945667001 . This is a "TRICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 265103 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0217061000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2000534 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 5124491 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1037490 . This is a "WEST VA W/COMP" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 246623 . This is a "ALLIANCE PPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 10380881 . This is a "VALLEY HEALTH PLAN" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 2245111000 . This is a "DOL" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 146674 . This is a "SOUTHRN HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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