BALOG NURSE PRACTITIONER IN FAMILY HEALTH PLLC (NPI# 1801353784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801353784 |
| Entity Type | Organization |
| Organization Name | BALOG NURSE PRACTITIONER IN FAMILY HEALTH PLLC |
| Practice Address |
254 Church St Saratoga Springs NY 12866-1037 |
| Mailing Address |
Po Box 3524 Saratoga Springs NY 12866-8010 |
| Practice Telephone | 5184770479 |
| Mailing Telephone | 5189446744 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | AMY BALOG (CEO) |
| Authorized Official Telephone | 5189446744 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Saratoga Palliative and Family Health NPs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BALOG NURSE PRACTITIONER IN FAMILY HEALTH PLLC | 254 Church Street, Lower Level, Saratoga Springs, New York 12866 |
| Street Address |
254 CHURCH ST |
| City | SARATOGA SPRINGS |
| State | NY |
| Zip Code | 12866-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245214063 | Mark Anthony Verra | Ophthalmology | 254 Church St, Suite 1, Saratoga Springs, NY 12866-1076 | 2005-12-05 |
| 1417214453 | Saratoga Schenectady Gastroenterology Associates, P.C. | Internal Medicine | 254 Church St, 2nd Floor, Saratoga Springs, NY 12866-1037 | 2012-04-16 |
| 1982850848 | Colleen Haverly | Counselor | 254 Church St, Saratoga Springs, NY 12866-1037 | 2008-08-12 |
| 1639352354 | Francomano Davison & Checca Inc. | Eyewear Supplier (Equipment, not the service) | 254 Church St, Saratoga Springs, NY 12866-1037 | 2007-12-17 |
| 1245439611 | Connie Lavery | Counselor | 254 Church St, Saratoga Springs, NY 12866-1037 | 2007-07-16 |
| 1457559809 | Edward J. Morcone | Counselor | 254 Church St, Saratoga Springs, NY 12866-1076 | 2007-07-06 |
| 1881892230 | Sheila A. Buckley | Counselor | 254 Church St, Saratoga Springs, NY 12866-1076 | 2007-07-06 |
| 1487852950 | Catherine M Welden | Counselor | 254 Church St, Saratoga Springs, NY 12866-1076 | 2007-07-06 |
| 1285832766 | Shirleyan Ebert | Social Worker | 254 Church St, Saratoga Springs, NY 12866-1076 | 2007-07-06 |
| 1588862932 | Deborah L. Greene | Social Worker | 254 Church St, Saratoga Springs, NY 12866-1076 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286247 | Rebecca Schiller | Occupational Therapy Assistant | 121 Lawrence St, Saratoga Springs, NY 12866 | 2020-08-17 |
| 1417597113 | Valerie June Andrascik | Physical Therapy Assistant | Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 | 2020-01-10 |
| 1790262749 | Sarah Leclerc | Psychologist | 1 Kempton Place, Saratoga Springs, NY 12866 | 2018-07-23 |
| 1386165454 | Kristina James | Speech-Language Pathologist | 88 Monroe St, Saratoga Springs, NY 12866 | 2017-06-29 |
| 1255799243 | Mary E Mccue | Dietitian, Registered | 683 Lake Ave, Saratoga Springs, NY 12866 | 2016-02-04 |
| 1982062261 | St. Peter's Health Partners Medical Associates, PC | Family Medicine | 377 Church Street, Saratoga, NY 12866 | 2016-02-02 |
| 1811353238 | Kristin Elizabeth Symmes | Registered Nurse | 135 South Broadway, Saratoga Springs, NY 12866 | 2016-01-14 |
| 1053707752 | Kaitlyn Lewis | Social Worker | 60 Geyser Road, Saratoga Springs, NY 12866 | 2015-04-09 |
| 1609264746 | Jessica Rose Leslie | Counselor | 79 Ash Street, Saratoga Springs, NY 12866 | 2014-12-23 |
| 1770990251 | Ranjit Bhagwat | Psychologist | 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 | 2014-07-17 |
| Find all providers in zip 12866 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947307 | Desiree Janell Darrisaw | Nurse Practitioner | 680 Tinton Ave Apt 7b, Bronx, NY 10455-2217 | 2020-06-24 |
| 1801323365 | Stacey Hope Rosman | Nurse Practitioner | 33 Mitchell Ave Ste 204, Binghamton, NY 13903-1642 | 2017-05-16 |
| 1407237647 | Afix Famosa | Nurse Practitioner | 1100 Ivy Ridge Rd Apt 31, Syracuse, NY 13210-4129 | 2015-06-12 |
| 1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
| 1295828879 | Kevin Francis Brennan | Nurse Practitioner | 218 Stone St, Watertown, NY 13601 | 2006-10-02 |
| 1649212697 | Dante D Mastronardi | Nurse Practitioner | 229-231 State St Fl 4, Binghamton, NY 13901-2756 | 2006-06-12 |
| 1952374886 | Allison Jennett German | Nurse Practitioner | 1 Rudolph Rd., Walker Health Center Suny Oswego, Oswego, NY 13126 | 2006-02-10 |
| 1114537065 | Sarah Batschelet | Nurse Practitioner | 209 W State St, Ithaca, NY 14850-5489 | 2020-08-05 |
| 1396362042 | Sasha Winslow | Nurse Practitioner | 60 Madison Ave Fl 5, New York, NY 10010-1600 | 2020-06-29 |
| 1184186595 | Joyce Ellen Hyatt | Nurse Practitioner | 36 Meadow Dr, Big Flats, NY 14814-7948 | 2019-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SARATOGA SPRINGS |
| Zip Code | 12866 |
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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.