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DR. LARRY DALE BALZER MD NPI 1235129370


NPI Information

NPI: 1235129370
Provider Name: DR. LARRY DALE BALZER, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
105 S BRYANT AVE
SUITE #210
EDMOND, OK
ZIP 73034
Phone: (405) 359-5229
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DR. Larry Dale Balzer, MD is a geriatric medicine family medicine in Edmond, OK with 53 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Larry Dale Balzer, MD NPI is 1235129370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1971

The provider's business location address is:

105 S BRYANT AVE
SUITE #210
EDMOND, OK
ZIP 73034-399
Phone: (405) 359-5229
Fax: (405) 359-5214

The NPI 1235129370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine9795OKLAHOMAYes
2207QG0300XFamily MedicineGeriatric MedicineE1498TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1301151YUYQMEDICARE PINOKLAHOMA
2P00231789OTHERTEXASRAIL ROAD RETIREMENT ID
3D17349MEDICARE UPINTEXAS
4115029404MEDICAIDTEXAS
5100116910AMEDICAIDOKLAHOMA
64060556OTHERTEXASHEALTHMARKET
7OKA100357MEDICARE PINOKLAHOMA
8P01326048MEDICARE PINOKLAHOMA
900HM76MEDICARE PINTEXAS
10108018103OTHERTEXASFIRSTCARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.