EDWARD P BALABAN (NPI# 1437129814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437129814 |
| Entity Type | Individual |
| Full Name | EDWARD P BALABAN |
| Credential | D.O. |
| Practice Address |
1800 E Park Ave State College PA 16803-6709 |
| Practice Telephone | 8142724400 |
| Practice Fax Number | 8142317295 |
| Mailing Telephone | 8142724400 |
| Mailing Fax Number | 8142317295 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OS004287L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891802666 | Edward Lee Balaban | Psychiatry & Neurology | 1175 Dickinson St, Springfield, MA 01108-3143 | 2006-08-25 |
| Street Address |
1800 E PARK AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841929 | Centre Diagnostic Imaging, PC | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-06-20 |
| 1235756982 | Gary Whitaker | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6701 | 2020-06-29 |
| 1366005225 | Lauren C. Hahn | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6797 | 2019-04-17 |
| 1760954093 | Bryson Anderson | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2018-12-27 |
| 1518449644 | Chase B Cohron | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2018-09-05 |
| 1356856819 | Joeleen Marie Stocker | Dietitian, Registered | 1800 E Park Ave, Nutrition & Culinary Services, State College, PA 16803 | 2017-12-06 |
| 1417487257 | Robin Tuttle | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2017-06-14 |
| 1710415443 | Alissa Ann Franklin | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2017-05-25 |
| 1457885188 | Sarah A Guillard | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2017-04-19 |
| 1417496803 | Jill Martin | Physician Assistant | 1800 E Park Ave, State College, PA 16801-5602 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659340818 | James V Lieb | Internal Medicine | 1800 East Park Ave, Lance and Ellen Shaner Cancer Pavilion, State College, PA 16803-6797 | 2006-03-17 |
| 1295056182 | Sean Barton O'donnell | Internal Medicine | 1800 E Park Ave, Lance and Ellen Shaner Cancer Pavilion, State College, PA 16803-6709 | 2010-06-15 |
| 1023215670 | Keriann Nickola Gray | Internal Medicine | 200 Scenery Dr., State College, PA 16801-5602 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372286 | Bethanie Jones | Internal Medicine | 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 | 2020-09-26 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1760947840 | Russell Eugene Kaufman | Internal Medicine | 700 Glengarry Rd, Philadelphia, PA 19118-4111 | 2019-02-04 |
| 1891204921 | Ahmed Mostafa | Internal Medicine | Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 | 2017-09-20 |
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1831619097 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 100, Lancaster, PA 17603-3372 | 2017-06-20 |
| 1194193656 | Allen Oliff | Internal Medicine | 1412 Florence Dr, Gwynedd Valley, PA 19437 | 2015-09-14 |
| 1679958912 | Lancaster Medical Group, LLC | Internal Medicine | 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 | 2015-07-28 |
| 1780077735 | Arnon I Dreyfuss | Internal Medicine | 239 Delancey St, Philadelphia, PA 19106-4318 | 2015-03-16 |
| 1164841193 | Maria Vershvovsky | Internal Medicine | 440 E Marshall St Ste 101, West Chester, PA 19380-5414 | 2014-04-07 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
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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.