MOLLIE BALKO (NPI# 1477589265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477589265 |
| Entity Type | Individual |
| Full Name | MOLLIE BALKO |
| Credential | LDN |
| Practice Address |
835 Hospital Road Dietitian Indiana PA 15701-0788 |
| Mailing Address |
835 Hospital Road Po Box 788 Indiana PA 15701-0788 |
| Practice Telephone | 7243577164 |
| Practice Fax Number | 7243577247 |
| Mailing Telephone | 7243577009 |
| Mailing Fax Number | 7243577414 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN 002903 | PA | Dietary & Nutritional Service Providers |
| Street Address |
835 HOSPITAL ROAD DIETITIAN |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-0788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341711 | Ki Young Chung | Internal Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-26 |
| 1134557408 | Hanna Gratzmiller Blystone | Speech-Language Pathologist | 835 Hospital Road, Indiana, PA 15701 | 2013-10-24 |
| 1801147525 | Emily Rose Sherry | Physician Assistant | 835 Hospital Road, Operating Room, Indiana, PA 15701-0788 | 2012-09-20 |
| 1629394481 | Francisca Oyindamola Oyedeji | Radiology | 835 Hospital Road, Indiana, PA 15701 | 2010-04-19 |
| 1619138526 | Eric Joseph Snyder | Physician Assistant | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2008-06-23 |
| 1770614919 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Road, Pediatric & Adolescent Dental Clinic, Indiana, PA 15701-0788 | 2007-03-08 |
| 1306973144 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pharmacy Department, Indiana, PA 15701-0788 | 2007-02-28 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1114029139 | Steven L. Seever | Nurse Anesthetist, Certified Registered | 835 Hospital Road, Anesthesiology Department, Indiana, PA 15701-0788 | 2006-09-01 |
| 1528090172 | Patrick Robert Shannon | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2006-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942595400 | Nicole Victoria Dann-payne | Dietitian, Registered | 714 Philadelphia St, Indiana, PA 15701-3955 | 2011-06-13 |
| 1386660108 | Diana L. Pisarcik | Dietitian, Registered | 841 Hospital Rd Ste 3500, Indiana, PA 15701-3659 | 2006-07-14 |
| 1285099689 | Michelle Kelly | Dietitian, Registered | 1099 Oak St, Indiana, PA 15701-1651 | 2015-12-30 |
| 1407884539 | Theresa M Fabert-kinneer | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-29 |
| 1396772836 | Martha L Crenshaw | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-28 |
| 1881621969 | Michele L Campbell | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-26 |
| 1023045176 | Lori M Smith | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
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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.