DOCTOR BALA & ASSOCIATES LLC (NPI# 1063640167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063640167 |
Entity Type | Organization |
Organization Name | DOCTOR BALA & ASSOCIATES LLC |
Practice Address |
2158 Intelliplex Dr Suite 106 Shelbyville IN 46176-8548 |
Mailing Address |
8011 Heyward Dr Indianapolis IN 46250-4226 |
Practice Telephone | 3176509740 |
Mailing Telephone | 3176509740 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2009-09-09 |
Authorized Official Name | DR. BALA CHANDER RANGASWAMI (CEO PHYSICIAN) |
Authorized Official Telephone | 3176509740 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
01046233A | IN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI NUMBER | 1245480979 | 01 |
Street Address |
2158 INTELLIPLEX DR SUITE 106 |
City | SHELBYVILLE |
State | IN |
Zip Code | 46176-8548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801841945 | Jennifer Lee Hartman | Physician Assistant | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8548 | 2006-05-24 |
1396112074 | Paula Annette Morrow | Registered Nurse | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8548 | 2015-08-28 |
1235426453 | Dr Bala and Associates A Major Health Partner LLC | Internal Medicine | 2158 Intelliplex Dr, Suite 106, Shelbyville, IN 46176-8548 | 2011-07-08 |
1962720490 | Jennifer Hardisty | Nurse Practitioner | 2158 Intelliplex Dr, Suite 106, Shelbyville, IN 46176-8548 | 2010-05-07 |
1174690713 | Angela R. Green | Nurse Practitioner | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8897 | 2006-11-29 |
1639114036 | Karim H Jacob | Specialist | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8548 | 2006-06-19 |
1720025174 | Christian Ballast | Internal Medicine | 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8846 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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City | SHELBYVILLE |
Zip Code | 46176 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.