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Deactivated NPI 1134111685 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Gregory Balko , MD

Pathology - Neuropathology • Edgewood, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Balko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date December 04, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Balko, MD was a registered Pathology - Neuropathology practicing in Edgewood, KY. Throughout an active medical career spanning 14 years, Dr. Balko provided care at the practice location at 1 MEDICAL VILLAGE DR until profile deactivation on 2019-12-04.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593012000
Fax 8593012073
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Neuropathology in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Edgewood, KY (5 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pathology - Neuropathology Primary Specialty

NUCC Taxonomy Code: 207ZN0500X

State License KY 23304

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cara Hansen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003155060

Certified Registered Nurse Anesthetist

Deborah Bliss , ACNP

Nurse Practitioner - Acute Care

NPI 1013059559
Stephanie Stegman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013533405

Certified Registered Nurse Anesthetist

Dr. Elle Kaiser , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582071

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

NPI 1023768264

Doctor of Osteopathic Medicine (D.O.)

Alexandra Wiesner , APRN

Nurse Practitioner

NPI 1023778123

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 04, 2019

Record deactivated on December 04, 2019

NPI Profile Active September 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2015

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

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Updated Business Mailing Address September 16, 2015

Registered at PO BOX 636324, CINCINNATI, OH 452636324 (Tel: 8593445555)

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Provider Name / Credentials Updated September 16, 2015

Recorded as MICHAEL BALKO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2015

Pathology (License #23304 in KY)

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Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134111685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: September 16, 2015
Deactivation Date: December 04, 2019

Mailing Address

Po Box 636324

Cincinnati, OH 452636324

Phone: 8593445555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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