Gregory M Balourdas (NPI# 1194856427, PAC ID# 5193761427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
Nation Provider ID (NPI) | 1194856427 |
PAC ID by PECOS | 5193761427 |
Professional Enrollment ID | I20050707001008 |
Full Name | Gregory M Balourdas |
Address |
4101 Randolph St San Diego CA 92103-1342 |
Gender | M |
Credential | MD |
Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | HAND SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050100 | SHARP MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
4101 Randolph St, San Diego, CA 92103-1342 | ||
7901 Frost St, San Diego, CA 92123-2701 | 8589393400 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
Street Address |
4101 RANDOLPH ST |
City | SAN DIEGO |
State | CA |
Zip | 92103-1342 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter E Cadman | Nephrology | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Patrick Pablo | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Kelli Gray-meisner | Registered Dietitian Or Nutrition Professional | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Lovella S Hailey | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Valerie L Waters | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Jennifer A Dorward | Nurse Practitioner | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Erika Albani | Family Practice | Regents of The University of California - Ucsd Medical Group | 200 W Arbor Dr, San Diego, CA 92103-0001 |
Sharon Grodner | Psychologist, Clinical | 2278 Pine St, San Diego, CA 92103-1153 | |
Stephanie L Lessig | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
Hossein Ansari | Neurology | Regents of The University of California - Ucsd Medical Group | 4311 3rd Ave, San Diego, CA 92103-1407 |
Find all physicians in zip 92103 |
City | SAN DIEGO |
Zip Code | 92103 |
Specialty | HAND SURGERY |
City + Specialty | SAN DIEGO + HAND SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.