Thomas W Ballard in Niceville - Diagnostic Radiology
Thomas W Ballard - NPI 1750360012
Thomas W Ballard is a Diagnostic Radiology in Niceville, Florida. Thomas W Ballard practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Thomas W Ballard is 1750360012. The last update date is 2019-01-22.
Thomas W Ballard's current location address is 206 Baywind Dr, Niceville, Florida. You can contact this provider via phone number 8505641030 and fax number 8505641039. The mailing address for Thomas W Ballard is 206 Baywind Dr, Niceville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas W Ballard |
|---|---|
| Address | 206 Baywind Dr, Niceville, Florida |
| Phone Number | 8505641030 |
| Fax Number | 8505641039 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1750360012 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 206 Baywind Dr |
|---|---|
| City | Niceville |
| State | Florida (FL) |
| Post Code | 325784802 |
| Phone Number | 8505641030 |
| Fax Number | 8505641039 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD00026303 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44157100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Thomas W Ballard by the Centers for Medicare & Medicaid Services?
The Thomas W Ballard has been issued the NPI (National Provider Identifier) 1750360012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Thomas W Ballard's facilities are situated?
The facilities of Thomas W Ballard are physically located at the following address: 206 Baywind Dr, Niceville, FL, 325784802.
What is Thomas W Ballard's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Thomas W Ballard is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750360012 to Thomas W Ballard?
The Centers for Medicare & Medicaid Services originally issued the 1750360012 to Thomas W Ballard on 2006-01-13.
As of what date were the Thomas W Ballard's details last updated?
The information pertaining to the Thomas W Ballard, including its address, specialty, and other details, was most recently updated on 2019-01-22.