DR. BEN JAMES BALOUGH (NPI# 1083687594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083687594 |
| Entity Type | Individual |
| Full Name | DR. BEN JAMES BALOUGH |
| Credential | MD |
| Practice Address |
34520 Bob Wilson Dr Suite 200 San Diego CA 92134-2098 |
| Mailing Address |
11625 Angelique St San Diego CA 92131-3815 |
| Practice Telephone | 6195329604 |
| Practice Fax Number | 6195326088 |
| Mailing Telephone | 6195329604 |
| Mailing Fax Number | 6195326088 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
G71198 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
34520 BOB WILSON DR SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195567 | Neil Frank Gibbs | Dermatology | 34520 Bob Wilson Dr, Dermatology Department, Naval Medical Center, San Diego, CA 92134-2300 | 2005-09-20 |
| 1578036174 | Michael Matthew Fregolle | Military Health Care Provider | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2019-01-07 |
| 1932677499 | Emily J Thomas | Physician Assistant | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2018-11-02 |
| 1689184624 | Lisa Rene Burns | Nurse Practitioner | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2017-10-04 |
| 1154659803 | Michael William Terrenzi | Pharmacist | 34520 Bob Wilson Dr, Naval Medical Center, Pharmacy Dept. Bldg. 1 Flr. 1, San Diego, CA 92134-2098 | 2009-11-18 |
| 1235367327 | Paula Witherspoon | Pediatrics | 34520 Bob Wilson Dr, Department of Pediatrics, San Diego, CA 92134-2030 | 2009-06-26 |
| 1477780617 | Erin Beth Storie | Dermatology | 34520 Bob Wilson Dr, Suite #300, San Diego, CA 92134-2098 | 2009-06-15 |
| 1679771133 | Branch Medical Clinic North Island | Clinic/Center | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2007-07-06 |
| 1164558102 | Alana Sulit | Registered Nurse | 34520 Bob Wilson Dr, San Diego, CA 92134 | 2007-02-26 |
| 1568525319 | Carol Lynn Budzik | General Practice | 34520 Bob Wilson Dr, Suite 100, San Diego, CA 92134-2098 | 2006-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
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| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740701549 | Joe Saliba | Otolaryngology | 200 W. Arbor Dr, Mc 8895, San Diego, CA 92103 | 2017-06-30 |
| 1235407685 | San Diego Regional Head & Neck Center | Otolaryngology | 6645 Alvarado Rd, Ste 4000, San Diego, CA 92120-5208 | 2011-12-13 |
| 1780884999 | Philip David Littlefield | Otolaryngology | 10670 Wexford St, San Diego, CA 92131-3940 | 2007-07-25 |
| 1043377245 | Michael J. O'leary, M.d., Inc. | Otolaryngology | 3590 Camino Del Rio N, Ste 101, San Diego, CA 92108-1716 | 2007-01-03 |
| 1417986613 | Michael Joseph O'leary | Otolaryngology | 3590 Camino Del Rio N, Ste 101, San Diego, CA 92108-1716 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845834 | Yuan Liu | Otolaryngology | 11234 Anderson St Rm 2586a, Loma Linda, CA 92354-2804 | 2013-04-10 |
| 1699017301 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 770 Pacific Coast Hwy, Seal Beach, CA 90740-6379 | 2013-03-20 |
| 1801152665 | Center for Fall Prevention, A Medical Corporation | Otolaryngology | 3831 Hughes Ave Ste 608, Culver City, CA 90232-6851 | 2012-04-05 |
| 1700151909 | Stuart Gerard Gherini | Otolaryngology | 1056 38th St, Sacramento, CA 95816-5513 | 2012-03-20 |
| 1144420738 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 446 Old Newport Beach Blvd, Shohet Ear Associates Medical Group Inc, Newport Beach, CA 92663-4246 | 2007-07-20 |
| 1952426017 | Hernan Goldsztein | Otolaryngology | 530 Lomas Santa Fe Dr Ste 1, Solana Beach, CA 92075-1350 | 2007-03-20 |
| 1932253960 | Hana T. Bui, Md, A Professional Corporation | Otolaryngology | 1321 N Harbor Blvd Ste 101, Fullerton, CA 92835-4129 | 2007-01-23 |
| 1508876699 | Derald E Brackmann | Otolaryngology | 2100 W 3rd St Ste 111, Los Angeles, CA 90057-1999 | 2006-08-09 |
| 1629075635 | John Steven Oghalai | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2005-07-05 |
| 1356344022 | Kevin X Mckennan | Otolaryngology | 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314 | 2005-05-24 |
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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.