EMIL ANTONINE BALASANDIRAN (NPI# 1205935731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205935731 |
| Entity Type | Individual |
| Full Name | EMIL ANTONINE BALASANDIRAN |
| Credential | MD |
| Practice Address |
1406 W Bella Dr Marion IN 46953-5229 |
| Mailing Address |
330 N Wabash Ste G20 Marion IN 46952-2600 |
| Practice Telephone | 7656607720 |
| Practice Fax Number | 7656624493 |
| Mailing Telephone | 7656607600 |
| Mailing Fax Number | 7656517313 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01029899 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000742788 | 01 |
| IN | 100124430 | 05 |
| Street Address |
1406 W BELLA DR |
| City | MARION |
| State | IN |
| Zip Code | 46953-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053363861 | Martin Walter Pruss | Family Medicine | 1406 W Bella Dr, Marion, IN 46953-5229 | 2006-05-17 |
| 1871032045 | Lora E Marshall | Nurse Practitioner | 1406 W Bella Dr, Marion, IN 46953-5229 | 2017-02-21 |
| 1811372915 | Betty Guerin | Nurse Practitioner | 1406 W Bella Dr, Marion, IN 46953-5229 | 2015-07-30 |
| 1922480201 | Michella Azar | Internal Medicine | 1406 W Bella Dr, Marion, IN 46953 | 2015-06-23 |
| 1356776918 | Riley D Rose | Registered Nurse | 1406 W Bella Dr, Marion, IN 46953-5229 | 2013-09-13 |
| 1962708156 | Jamie Sue Lang | Nurse Practitioner | 1406 W Bella Dr, Marion, IN 46953-5229 | 2011-02-04 |
| 1356656250 | Nabin Kumar Agrawal | Family Medicine | 1406 W Bella Dr, Marion, IN 46953-5229 | 2010-08-16 |
| 1679746127 | Adam Jay Patrick | Internal Medicine | 1406 W Bella Dr, Marion, IN 46953-5229 | 2008-04-04 |
| 1356440887 | Shankaran Srikanth | Internal Medicine | 1406 W Bella Dr, Marion, IN 46953-5229 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| 1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
| 1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
| 1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
| 1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
| 1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
| 1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
| 1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
| 1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
| Find all providers in zip 46953 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528525359 | Medical Wellness Clinic | Family Medicine | 79 Academy St Ste D, Marion, NC 28752-3901 | 2019-02-28 |
| 1174092720 | Carehere LLC | Family Medicine | 83333 Express Drive, Suite # D, Marion, IL 62959-8226 | 2018-11-13 |
| 1972999035 | Charles Anthony Thompson | Family Medicine | 130 University Dr Ste 1100, Marion, OH 43302-1118 | 2015-04-15 |
| 1639583164 | Central Ohio Visiting Physicians | Family Medicine | 117 N Greenwood St, Suite 4, Marion, OH 43302-3129 | 2014-06-12 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
| 1598027765 | Jesse William Pace | Family Medicine | 5623 Highway 221 South, Marion, NC 28752-6101 | 2012-06-13 |
| 1215203708 | Qihui Joanna Liu | Family Medicine | 1713 Marion Mount Gilead Rd Ste 108, Marion, OH 43302-7868 | 2012-03-28 |
| 1356612006 | Marion Chronic Care Ltd | Family Medicine | 4501 W Deyoung St Ste B-203, Marion, IL 62959-6385 | 2012-01-25 |
| 1114213766 | Dave Parker Inc | Family Medicine | 1224 Greer Ave, Marion, VA 24354-4306 | 2011-06-22 |
| Find all providers in MARION | ||||
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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.