CONSTANTINE A BALOURIS (NPI# 1851478531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851478531 |
| Entity Type | Individual |
| Full Name | CONSTANTINE A BALOURIS |
| Credential | MD |
| Practice Address |
102 Technology Dr Suite 120 Butler PA 16001-1782 |
| Practice Telephone | 7244820090 |
| Practice Fax Number | 7244820093 |
| Mailing Telephone | 7244820090 |
| Mailing Fax Number | 7244820093 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | BB4299447 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016271000005 | 05 | |
| PA | CHAMPUS | PO38282-A003 | 01 |
| PA | DME | 1186970001 | 01 |
| Street Address |
102 TECHNOLOGY DR SUITE 120 |
| City | BUTLER |
| State | PA |
| Zip Code | 16001-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833480 | Hung-chi Ho | Radiology | 102 Technology Dr, Suite 110, Butler, PA 16001-1784 | 2005-07-05 |
| 1518307982 | Butler Medical Providers | Preventive Medicine | 102 Technology Dr, Suite 210, Butler, PA 16001-1784 | 2013-07-01 |
| 1649519778 | Butler Cancer Associates Inc | Internal Medicine | 102 Technology Dr, Suite110, Butler, PA 16001-1784 | 2013-02-09 |
| 1538411020 | Kelly M Gaertner | Pharmacist | 102 Technology Dr, Suite 110, Butler, PA 16001-1784 | 2012-10-08 |
| 1609190339 | Butler Medical Providers | Dermatology | 102 Technology Dr, Suite 230, Butler, PA 16001-1784 | 2010-03-24 |
| 1306169792 | Lisa L Ellis | Physician Assistant | 102 Technology Dr, Suite 230, Butler, PA 16001-1784 | 2010-03-12 |
| 1649440611 | West Penn Radiation Oncology Associates, PC | Radiology | 102 Technology Dr, Butler, PA 16001-1784 | 2008-03-06 |
| 1548301393 | Richard F. Latuska, M.d. | Internal Medicine | 102 Technology Dr, Suite 230, Butler, PA 16001-1782 | 2007-02-12 |
| 1487795993 | David A Cowan | Dermatology | 102 Technology Dr, Suite 230 Benbrook Medical Center 1, Butler, PA 16001-1784 | 2007-02-08 |
| 1679610521 | Balouris Eye Cener, PC | Ophthalmology | 102 Technology Dr, Suite 120, Butler, PA 16001-1782 | 2007-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
| 1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
| 1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
| 1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
| 1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
| 1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
| 1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
| 1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
| 1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
| 1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
| Find all providers in zip 16001 | ||||
| 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 |
|---|---|---|---|---|
| 1437513959 | Haralambos Robert Papas | Ophthalmology | 102 Technology Dr Ste 120, Butler, PA 16001-1784 | 2016-04-11 |
| 1093824112 | Charles Nicholas Tredennick | Ophthalmology | 1230 East Dr, Butler, PA 16002-3910 | 2006-08-30 |
| 1679610521 | Balouris Eye Cener, PC | Ophthalmology | 102 Technology Dr, Suite 120, Butler, PA 16001-1782 | 2007-01-31 |
| 1346327947 | Melissa A Derenzo | Ophthalmology | 102 Technology Dr, Suite 120, Butler, PA 16001-1782 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1871115691 | Harold P Koller Md LLC | Ophthalmology | 1650 Huntingdon Pike Ste 208, Meadowbrook, PA 19046-8006 | 2020-05-14 |
| 1851938039 | Katherine Marie Mehalik | Ophthalmology | 301 S Hills Vlg Ste 2115a, Pittsburgh, PA 15241-1400 | 2019-12-05 |
| 1275177602 | Vision Innovation Centers of Pa LLC | Ophthalmology | 1000 Market St Ste 5, Bloomsburg, PA 17815-2601 | 2019-10-29 |
| 1255982963 | Priyanka Kukkar | Ophthalmology | 203 Lothrop Street, 8th Floor, Upmc Eye Center, Pittsburgh, PA 15213 | 2019-09-24 |
| 1871149716 | Harrisburg Eye Associates PC | Ophthalmology | 4700 Union Deposit Rd Ste 220, Harrisburg, PA 17111-3774 | 2019-08-15 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1528623477 | Jay Kumar Chhablani | Ophthalmology | 203 Lothrop St Ste 821.2, Pittsburgh, PA 15213-2548 | 2019-05-07 |
| 1295290179 | Erika Massicotte | Ophthalmology | 203 Lothrop Street, Suite 821.2 Upmc Eye Center, Pittsburgh, PA 15213 | 2019-02-05 |
| 1417441692 | Blue Bell Eye Care & Surgery, P.C. | Ophthalmology | 686 Dekalb Pike Ste 202, Blue Bell, PA 19422-1258 | 2018-06-20 |
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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.