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DR. MELISSA RENE BALBUENA-ROOT MD NPI 1912360884


NPI Information

NPI: 1912360884
Provider Name: DR. MELISSA RENE BALBUENA-ROOT, MD
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Individual

Specialization: Clinical Neurophysiology

PECOS Registration: Yes

Address:
9158 W DREYFUS DR
PEORIA, AZ
ZIP 85381
Phone: (615) 346-8182
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DR. Melissa Rene Balbuena-root, MD is a clinical neurophysiology psychiatry neurology in Peoria, AZ with 8 years of experience. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). DR. Melissa Rene Balbuena-root, MD NPI is 1912360884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

9158 W DREYFUS DR
PEORIA, AZ
ZIP 85381-215
Phone: (615) 346-8182
Fax: (615) 829-8970

The NPI 1912360884 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 3/30/2016 and was last updated on 6/2/2023.


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
12084N0400XPsychiatry & NeurologyNeurology310792-01NEW YORKNo
22084N0400XPsychiatry & NeurologyNeurologyT3923TEXASNo
32084N0400XPsychiatry & NeurologyNeurology60389ARIZONANo
42084N0400XPsychiatry & NeurologyNeurologyDR.0066884COLORADONo
52084N0600XPsychiatry & NeurologyClinical Neurophysiology4301504544MICHIGANNo
62084N0600XPsychiatry & NeurologyClinical NeurophysiologyDR.0066884COLORADONo
72084N0600XPsychiatry & NeurologyClinical Neurophysiology310792-01NEW YORKNo
82084N0600XPsychiatry & NeurologyClinical Neurophysiology60389ARIZONAYes

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.