DR. ROBERT JAY BALOTIN (NPI# 1205924537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205924537 |
Entity Type | Individual |
Full Name | DR. ROBERT JAY BALOTIN |
Credential | M.D. |
Practice Address |
200 W Academy Street Gainesville GA 30501 |
Mailing Address |
Po Box 2417 Gainesville GA 30503-2417 |
Practice Telephone | 7702828820 |
Mailing Telephone | 7705329936 |
Mailing Fax Number | 7705349877 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
043163 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | MEDICARE GRP PROV # | 581177261A | 01 |
GA | 000737107E | 05 | |
GA | RAILROAD MEDICARE | P00298084 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1250 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 305013871 | 7705329936 | 7705349877 |
Street Address |
200 W ACADEMY STREET |
City | GAINESVILLE |
State | GA |
Zip Code | 30501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134101116 | Richard C Cory | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2005-11-16 |
1922443183 | Stuart Joseph Deaderick | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2013-05-01 |
1891089272 | Joseph Paul Whitlock | Internal Medicine | 200 W Academy Street, Gainesville, GA 30501 | 2011-06-03 |
1922319599 | Bart W Kimbrell | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2010-06-28 |
1093958795 | Michael Deogracias Wood | Physician Assistant | 200 W Academy Street, Gainesville, GA 30501 | 2009-04-09 |
1063533149 | Ajay Kumar Ravi | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2007-04-03 |
1760539175 | Christa Lee Rush | Physician Assistant | 200 W Academy Street, Gainesville, GA 30501 | 2007-01-05 |
1245399575 | Henry A Woods Jr. | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2006-12-06 |
1225054083 | Matthew Lauer Scott | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2006-07-14 |
1063447902 | Kimberely J Windham-cope | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2006-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
Find all providers in zip 30501 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124654405 | Summerlin Imaging Center LLC | Radiology | 7520 W University Ave Ste D, Gainesville, FL 32607-7612 | 2020-03-18 |
1801382023 | Urgent Radiology Pllc | Radiology | 3502 Nw 18th Ave, Gainesville, FL 32605-3670 | 2018-07-11 |
1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
1326496571 | Charles Walter Snyder | Radiology | 2568 Sw 50th Blvd, Gainesville, FL 32608-3977 | 2016-05-27 |
1770953572 | Jose Manuel Quintero | Radiology | 1371 Se 23rd Ave, Gainesville, FL 32641-8798 | 2015-10-06 |
1891180634 | Eric William Pepin | Radiology | University of Florida Com, Gainesville, FL 32610-1004 | 2015-03-30 |
1841525045 | Naeima Beseikri | Radiology | 5175 Glenstone Ct, Gainesville, GA 30504-9043 | 2009-10-06 |
1992965701 | Heather L Carpenter | Radiology | 4343 W Newberry Rd Ste 5, Gainesville, FL 32607-2824 | 2008-06-16 |
1417046863 | Timothy P. Boyett | Radiology | 3330 Sw 81st St, Gainesville, FL 32608-9502 | 2006-10-12 |
1356439541 | Jeffrey N Mcintire | Radiology | 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 | 2006-10-11 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 30501 |
Please comment or provide details below to improve the information on DR. ROBERT JAY BALOTIN.
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.