Christopher W Ballard in Fairfield - Family Medicine
Christopher W Ballard - NPI 1164428165
Christopher W Ballard is a Family Medicine in Fairfield, Illinois. Christopher W Ballard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Christopher W Ballard is 1164428165. The last update date is 2021-03-03.
Christopher W Ballard's current location address is 213 Nw 10th St, Fairfield, Illinois. You can contact this provider via phone number 6188424617 and fax number 6188424743. The mailing address for Christopher W Ballard is 213 Nw 10th St, Fairfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher W Ballard |
|---|---|
| Address | 213 Nw 10th St, Fairfield, Illinois |
| Phone Number | 6188424617 |
| Fax Number | 6188424743 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164428165 |
|---|---|
| Provider Enumeration Date | 2005-06-23 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 213 Nw 10th St |
|---|---|
| City | Fairfield |
| State | Illinois (IL) |
| Post Code | 628371219 |
| Phone Number | 6188424617 |
| Fax Number | 6188424743 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36110162 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36110162 | IL | -- | |
| 820900 | MEDICARE GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Christopher W Ballard by the Centers for Medicare & Medicaid Services?
The Christopher W Ballard has been assigned the NPI (National Provider Identifier) 1164428165. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Christopher W Ballard?
The Christopher W Ballard is physically situated at 213 Nw 10Th St, in the city of Fairfield, state of IL, with the postal code 628371219.
What is the Christopher W Ballard's area of specialization and corresponding taxonomy classification?
The Christopher W Ballard's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1164428165 to Christopher W Ballard?
The Christopher W Ballard received its 1164428165 assignment from the Centers for Medicare & Medicaid Services on 2005-06-23.
As of what date was the information regarding Christopher W Ballard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christopher W Ballard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-03.