DR. EDWARD MICHAEL BALOK (NPI# 1609884220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609884220 |
| Entity Type | Individual |
| Full Name | DR. EDWARD MICHAEL BALOK |
| Credential | M.D. |
| Practice Address |
4050 River Rd East China MI 48054-2908 |
| Practice Telephone | 8103299045 |
| Practice Fax Number | 8103298732 |
| Mailing Telephone | 8103299045 |
| Mailing Fax Number | 8103298732 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | EB055964 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP | 180G410170 | 01 |
| MI | 103283901 | 05 | |
| MI | BCBS IINDIVIDUAL | 0741045 | 01 |
| Street Address |
4050 RIVER RD |
| City | EAST CHINA |
| State | MI |
| Zip Code | 48054-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386060168 | St. Clair Infectious Diseases PC | Internal Medicine | 4050 River Rd, Ste 2, East China, MI 48054-2931 | 2014-03-17 |
| 1174748081 | Riverside Eye Center PC | Durable Medical Equipment & Medical Supplies | 4050 River Rd, East China, MI 48054-2908 | 2007-04-16 |
| 1093820532 | Randall Peter Kamlay | Optometrist | 4050 River Rd, East China, MI 48054 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1215075064 | Gordon Carl Charlton | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-02 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| Find all providers in zip 48054 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHINA |
| Zip Code | 48054 |
Please comment or provide details below to improve the information on DR. EDWARD MICHAEL BALOK.
| 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.