JOHN BALKO AND ASSOCIATES INC
NPI 1932105996
Family Medicine in Hermitage, PA

NPI Status: Active since June 24, 2005

Contact Information

102 NORTH KEEL RIDGE ROAD
HERMITAGE, PA
ZIP 16148
Phone: (866) 758-4862
Fax: (330) 758-4886

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  • Organization
  • Family Medicine

About JOHN BALKO AND ASSOCIATES INC

This page provides the complete NPI Profile along with additional information for John Balko And Associates Inc, a primary care provider established in Hermitage, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1932105996 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 34-00-4454D (PA). The provider is registered as an organization and their NPI record was last updated 13 years ago. John Balko And Associates Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John Balko Au.d. (Physician Owner)

NPI
1932105996
Provider Name
JOHN BALKO AND ASSOCIATES INC
Entity Type
Organization
Location Address
102 NORTH KEEL RIDGE ROAD HERMITAGE, PA 16148
Location Phone
(866) 758-4862
Location Fax
(330) 758-4886
Mailing Address
102 NORTH KEEL RIDGE ROAD HERMITAGE, PA 16148
Mailing Phone
(866) 758-4862
Mailing Fax
(330) 758-4886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2005
Last Update Date
01-31-2013
Code Navigator

A primary care provider (PCP) like John Balko And Associates Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
34-00-4454D
License State
PA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

OE6726-T (PA)
2213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

36-00-3012-I (PA)
3231H00000XSpeech, Language and Hearing Service Providers

Audiologist

AT-001085-L (PA)
4335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN BALKO AU.D.

Authorized Official Title
PHYSICIAN OWNER
Authorized Official Phone
(866) 758-4862

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DO1166OTHER (01)WVRAILROAD MEDICARE
200552880AMEDICAID (05)KS 
001048MEDICARE PIN (08)PA 
000015409MEDICARE PIN (08)MO 
MA1949MEDICARE PIN (08)MO 
2068337OTHER (01)OHMEDICAID DME OHIO
DB4766MEDICARE ID-TYPE UNSPECIFIED (04)RAILROAD
504036005MEDICAID (05)MO 
1007545590017MEDICAID (05)PA 
9378311MEDICARE PIN (08)WV 
001547617OTHER (01)PABLUE CROSS
9296721MEDICARE ID-TYPE UNSPECIFIED (04)OH 
200426060AMEDICAID (05)KS 
1007545590018MEDICAID (05)PA 
MA1948MEDICARE PIN (08)MO 
MA2597MEDICARE PIN (08)MO 
1273870001MEDICARE ID-TYPE UNSPECIFIED (04)PA 
1007545590020MEDICAID (05)PA 
OP11670MEDICAID (05)MI 
891755OTHER (01)PABLUE CROSS
817220OTHER (01)PABLUE CROSS
1150680001MEDICARE ID-TYPE UNSPECIFIED (04)OH 
000000361347OTHER (01)ANTHEM SENIOR ADVANTAGE
0589118OTHER (01)OHAETNA HMO
3810014011MEDICAID (05)WV 
01871076MEDICAID (05)NY 
KA1108MEDICARE PIN (08)KS 
1500751OTHER (01)PAGATEWAY PA
817050OTHER (01)PABLUE CROSS
0589118OTHER (01)AETNA
1150680001OTHER (01)OHMEDICARE DME
MA3947MEDICARE PIN (08)MO 
X180000MEDICARE PIN (08)MO 
DO8546OTHER (01)KSRAILROAD MEDICARE
39377011OTHER (01)KSBCBS KANSAS
DG3107OTHER (01)MORAILROAD MEDICARE
000817313OTHER (01)WVBCBS WEST VIRGINIA
001048MEDICARE ID-TYPE UNSPECIFIED (04)PA 
2068337MEDICAID (05)OH 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932105996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 2 + 0 + 1 + 0 + 9 + 1 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1932105996.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932105996, enumerated as an "organization" on June 24, 2005.

The provider is located at 102 NORTH KEEL RIDGE ROAD HERMITAGE, PA 16148 and the phone number is (866) 758-4862.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid, Blue Cross. Please consult your insurance carrier or call the provider to verify.