Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35.075003 | OH |
NPI | 1043216724 |
---|---|
Provider Name | Dr. Gregory W. Balturshot |
First Address | Columbus, OH 43214-3937 |
Second Address | Columbus, OH 43214-3937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000287349 | ANTHEM PIN (01) | OH |
2404517 | (05) | OH |
310874776032 | CARESOURCE PIN (01) | OH |
4251397001 | CIGNA PIN (01) | OH |
600450 | UNITED HEALTHCARE (01) | OH |
64090327 | (05) | KY |
7513476 | AETNA PIN NUMBER (01) | OH |
H85639 | (02) | OH |