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NPI 1972935385 · live from the CMS NPI Registry

Timothy Michael Balise, PA-C

Physician Assistant, Surgical in Steamboat Springs, CO. National Provider Identifier 1972935385, active.

NPI record

NPI1972935385 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Surgical 363AS0400X
Practice location705 Marketplace Plz Ste 200, Steamboat Springs, CO 80487
Practice phone970-879-6663
EnumeratedAugust 7, 2013
Last updatedOctober 7, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Surgical363AS0400X055.0031177 (VT)
Physician Assistant, Surgical primary363AS0400XPA.0008649 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.