DR. ROBERT JAY BALOTIN


Address: 200 W Academy Street, Gainesville, GA 30501
Phone: 7702828820

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
043163 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA MEDICARE GRP PROV # 581177261A 01
GA 000737107E 05
GA RAILROAD MEDICARE P00298084 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 305013871 7705329936 7705349877

Office Location

Street Address 200 W ACADEMY STREET
City GAINESVILLE
State GA
Zip Code 30501

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

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.

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