BALANCED MEDICINE LLC (NPI# 1891853271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891853271 |
| Entity Type | Organization |
| Organization Name | BALANCED MEDICINE LLC |
| Practice Address |
29002 Rockstull Rd Sugar Grove OH 43155-9644 |
| Practice Telephone | 7407460453 |
| Practice Fax Number | 7407430453 |
| Mailing Telephone | 7407460453 |
| Mailing Fax Number | 7407430453 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | MRS. GABRIELA B GOSS (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7407460453 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
34007781S | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2335351 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BALANCED MEDICINE LLC | 2319 N 45th St, Suite 104, Seattle, WA 98103-6982 |
| Street Address |
29002 ROCKSTULL RD |
| City | SUGAR GROVE |
| State | OH |
| Zip Code | 43155-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104224377 | Berne Township Clerk | Ambulance | 5872 Sugar Grove Rd, Sugar Grove, OH 43155 | 2014-12-19 |
| 1750521928 | Berne Union Local School District | Local Education Agency (LEA) | 506 N. Main Street, Sugar Grove, OH 43155 | 2009-03-02 |
| 1164497434 | John Rodan Loeding Sr. | General Practice | 4140 Savage Hill Rd Se, Sugar Grove, OH 43155 | 2006-02-21 |
| 1588832174 | Catherine Morris | Registered Nurse | 100 North Elm Street, Sugar Grove, OH 43155-0048 | 2008-02-15 |
| 1477880458 | Outreach Mrdd Services | Homemaker | 28075 Logan Hornsmill Rd, Sugar Grove, OH 43155-9613 | 2009-11-11 |
| 1780133504 | Mental Health and Additive Services | Substance Abuse Rehabilitation Facility | Rr 1 Box 549, Sugar Grove, OH 43155-9627 | 2016-09-22 |
| 1184938292 | Bryan Michael Bumgardner | Licensed Practical Nurse | 4250 Chicken Coop Rd, Sugar Grove, OH 43155-9725 | 2010-07-30 |
| 1013959337 | Rebecca L Schlanger | Nurse Practitioner | 6550 Borah Hill Rd, Sugar Grove, OH 43155-9732 | 2006-06-12 |
| 1104374479 | Constance Lynn Morgan | Registered Nurse | 2930 Horns Mill Rd, Sugar Grove, OH 43155-9765 | 2016-09-15 |
| 1164946869 | Keirstan Mirgon | Student in an Organized Health Care Education/Training Program | 6180 Mirgon Rd, Sugar Grove, OH 43155-9779 | 2017-08-03 |
| Find all providers in zip 43155 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | SUGAR GROVE |
| Zip Code | 43155 |
Please comment or provide details below to improve the information on BALANCED MEDICINE LLC.
| 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.