RICHARD ATWATER BALDERSTON M.D. NPI 1265476386

NPI Information

NPI: 1265476386
Provider Name: RICHARD ATWATER BALDERSTON, M.D.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Address:
601 WALNUT ST
SUITE L50
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 409-9300
Get Directions

Richard Atwater Balderston, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Philadelphia, PA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Richard Atwater Balderston, M.D. NPI is 1265476386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 WALNUT ST
SUITE L50
PHILADELPHIA, PA
ZIP 19106-323
Phone: (215) 409-9300
Fax: (215) 409-9365

The enumeration date for this NPI number is 6/16/2006 and was last updated on 2/18/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	25MA06837200	NEW JERSEY	No
2	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	MD020871E	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B41599	MEDICARE UPIN	PENNSYLVANIA
2	425818	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	0052425000	OTHER	PENNSYLVANIA	I.B.C.
4	045444	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
5	2069868	OTHER	PENNSYLVANIA	AETNA

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: 11/14/2023

NPI Synchronization or Removal

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