Timothy D Ballard in Wright Patterson Afb - Family Medicine
Timothy D Ballard - NPI 1821075730
Timothy D Ballard is a Family Medicine in Wright Patterson Afb, Ohio. Timothy D Ballard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy D Ballard is 1821075730. The last update date is 2014-05-22.
Timothy D Ballard's current location address is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can contact this provider via phone number 9372571942. The mailing address for Timothy D Ballard is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy D Ballard |
|---|---|
| Address | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Phone Number | 9372571942 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1821075730 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2014-05-22 |
Provider Mailing Address Detail
| Address | 4881 Sugar Maple Dr |
|---|---|
| City | Wright Patterson Afb |
| State | Ohio (OH) |
| Post Code | 454335529 |
| Phone Number | 9372571942 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35.088367 |
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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 |
|---|---|---|---|
| 2764398 | OH | -- | |
| 510374 | OH | ANTHEM/BCBS | |
| 551694 | OH | ANTHEM/BCBS |
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What is the unique 10-digit identifier code assigned to Timothy D Ballard by the Centers for Medicare & Medicaid Services?
The Timothy D Ballard has been issued the NPI (National Provider Identifier) 1821075730 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Timothy D Ballard located?
The Timothy D Ballard is located at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 454335529.
What is Timothy D Ballard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy D Ballard's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821075730 to Timothy D Ballard?
The Centers for Medicare & Medicaid Services originally issued the 1821075730 to Timothy D Ballard on 2005-12-30.
When was the Timothy D Ballard's information last updated?
The Timothy D Ballard's information was last updated on 2014-05-22.