Active NPIIndividual providerSole proprietor

Mark W Balles, MD

Ophthalmology in Portland, Maine

NPI Number1780654392
Practice location
195 Fore River Pkwy Ste 480, Portland, ME 04102-2787
Fax
207-773-0801
Last updated
January 7, 2010

Mark W Balles is an Ophthalmology based in Portland, ME. Mark W Balles practices in Portland, ME and has the professional credentials of MD. The NPI Number for Mark W Balles is 1780654392 and holds a License No. 014047 (ME). The current practice location address for Mark W Balles is 195 Fore River Pkwy Ste 480, Portland, ME 04102-2787 and can be reached out via phone at 207-773-3937 and via fax at 207-773-0801.

Provider Profile Details

NPI Number
1780654392
Provider Name
Mark W Balles
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
195 Fore River Pkwy Ste 480, Portland, ME 04102-2787
Phone Number
207-773-3937
Fax Number
207-773-0801
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2006
Last Update Date
January 7, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Fore River Pkwy Ste 480
Portland, ME 04102-2787
State
Maine
Zip
04102-2787
Phone Number
207-773-3937
Fax Number
207-773-0801
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
195 Fore River Pkwy Ste 480
Portland, ME 04102-2787
City
Portland
State
ME
Zip
04102-2787
Phone Number
207-773-3937
Fax Number
207-773-0801

License Information

License Number
014047
License State
ME
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark W Balles, MD?

The NPI number of Mark W Balles, MD is 1780654392. It was assigned on January 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark W Balles, MD?

Mark W Balles, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in ME under license number 014047.

Where does Mark W Balles, MD practice?

The practice location is 195 Fore River Pkwy Ste 480, Portland, ME 04102-2787. The office can be reached at 207-773-3937 (phone) or 207-773-0801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780654392 directly on the NPPES registry website.

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