Fred Jackson Ballenger in Roanoke - Nephrology
Fred Jackson Ballenger - NPI 1447258728
Fred Jackson Ballenger is a Nephrology in Roanoke, Virginia. Fred Jackson Ballenger practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Fred Jackson Ballenger is 1447258728. The last update date is 2021-03-29.
Fred Jackson Ballenger's current location address is 2602 Franklin Rd Sw, Roanoke, Virginia. You can contact this provider via phone number 5403441400 and fax number 5403447133. The mailing address for Fred Jackson Ballenger is 2602 Franklin Rd Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Jackson Ballenger |
|---|---|
| Address | 2602 Franklin Rd Sw, Roanoke, Virginia |
| Phone Number | 5403441400 |
| Fax Number | 5403447133 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447258728 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 2602 Franklin Rd Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240141010 |
| Phone Number | 5403441400 |
| Fax Number | 5403447133 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 101027649 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6091270 | VA | -- | |
| CG1162 | VA | RR MEDICARE GROUP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fred Jackson Ballenger?
The Fred Jackson Ballenger has been issued the NPI (National Provider Identifier) 1447258728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Fred Jackson Ballenger is geographically located?
The Fred Jackson Ballenger is physically situated at the following location: 2602 Franklin Rd Sw, Roanoke, VA, 240141010.
What is Fred Jackson Ballenger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fred Jackson Ballenger is Nephrology, and the taxonomy code that classifies this field of practice is 207Rn0300X.
On what date did Fred Jackson Ballenger receive its 1447258728 assignment from the Centers for Medicare & Medicaid Services?
The Fred Jackson Ballenger was assigned its 1447258728 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Fred Jackson Ballenger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fred Jackson Ballenger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-29.