Basic Information
| Provider Information | |||||||||
| NPI: | 1124092622 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BALUH | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | L. | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVENUE | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 N. SEVENTH STREET | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172673000 | ||||||||
| FaxNumber: | 7172677414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 12/18/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | ARNP9215427 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 367500000X | RN221836-L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | P00602487 | 01 | PA | RAILROAD MEDICARE | OTHER | 120420418 | 01 | PA | DEPT OF LABOR | OTHER | 306914100 | 05 | FL | MEDICAID | 50075718 | 01 | PA | CAPITAL BLUECROSS | OTHER | 007380860 | 05 | PA | MEDICAID | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 255327 | 01 | PA | UNISON | OTHER | G920-0080/85XWCU | 01 | PA | CAREFIRST | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 050514 | 01 | PA | GROUP MEDICARE # | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | RN221836L | 01 | PA | RN LICENSE | OTHER |