MICHAEL BALATICO (NPI# 1437682671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437682671 |
| Entity Type | Individual |
| Full Name | MICHAEL BALATICO |
| Credential | M.D. |
| Practice Address |
15 Medical Dr Ste. #1100 Salt Lake City UT 84112-1100 |
| Mailing Address |
15 N. Medical Drive E. Ste. 1100 Salt Lake City UT 84112 |
| Practice Telephone | 8015812121 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
15 MEDICAL DR STE. #1100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245488667 | Archana Mishra Agarwal | Pathology | 15 Medical Dr, Emma Eccles Jones Medical Sci, Rm 2100, Salt Lake City, UT 84112-1100 | 2008-08-28 |
| 1942735238 | Emilia Calvaresi | Pathology | 15 Medical Dr, Ste 1100, Salt Lake City, UT 84112-1100 | 2017-04-25 |
| 1336674993 | Valarie Mcmurtry | Pathology | 15 Medical Dr, Ste. #1100, Salt Lake City, UT 84112-1100 | 2017-04-20 |
| 1972967800 | Evan Raps | Student in an Organized Health Care Education/Training Program | 15 Medical Dr, Ste 1100, Salt Lake City, UT 84112-1100 | 2016-04-06 |
| 1336535848 | Jeffrey Mohlman | Pathology | 15 Medical Dr, Ste. #1100, Salt Lake City, UT 84112-1100 | 2015-04-10 |
| 1871904565 | Joy Roman | Pathology | 15 Medical Dr, Salt Lake City, UT 84112-1100 | 2014-05-15 |
| 1295154367 | Brandy Pownell | Pathology | 15 Medical Dr, Salt Lake City, UT 84112 | 2014-04-15 |
| 1821357526 | Maggie L Hopkins | Pathology | 15 Medical Dr, Emma Eccles Jones Medical Suite 1100, Salt Lake City, UT 84112-1100 | 2012-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962842864 | Matthew Scott Johnson | Pathology | 2000 Circle of Hope Dr Rm N3100, Salt Lake City, UT 84112-5550 | 2013-06-25 |
| 1578852661 | Jolanta Jedrzkiewicz | Pathology | 434 2nd Ave Apt 4, Salt Lake City, UT 84103-5623 | 2011-03-30 |
| 1891922951 | Thomas Cary Wilson | Pathology | 5330 S 900 E Ste 120, Salt Lake City, UT 84117-3504 | 2009-06-16 |
| 1780822809 | Dana Claire Gingell | Pathology | 1372 S 300 E, Salt Lake City, UT 84115-1502 | 2009-01-27 |
| 1639315070 | Benjamin Lloyd Witt | Pathology | University of Utah 50 N Medical Dr, Department of Pathology, Salt Lake City, UT 84132-0001 | 2009-01-06 |
| 1164683959 | Jessica Comstock | Pathology | 100 N Mario Cappechi Dr, Primary Childrens Medical Center Dept of Pathology, Salt Lake City, UT 84113 | 2008-06-24 |
| 1932308152 | Daniel Joseph Albertson | Pathology | 1950 Circle of Hope Dr Rm N3105, Huntsman Cancer Hospitadepartment of Surgical Pathology, Salt Lake City, UT 84112-5500 | 2007-07-17 |
| 1639299324 | Edward Hubert Hart | Pathology | University of Utah Hospital Pathology, 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2007-03-29 |
| 1760547855 | Joseph P. Gormley | Pathology | 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112-1100 | 2006-12-27 |
| 1912940164 | Elizabeth M Jensen | Pathology | 1200 East 3900 South, Salt Lake City, UT 84124-1300 | 2006-06-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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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.