BALLARD GYNECOLOGY PROF LLC (NPI# 1336589936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336589936 |
| Entity Type | Organization |
| Organization Name | BALLARD GYNECOLOGY PROF LLC |
| Practice Address |
208 Federal Ave Rapid City SD 57702-2326 |
| Practice Telephone | 6057914442 |
| Practice Fax Number | 6057914449 |
| Mailing Telephone | 6057914442 |
| Mailing Fax Number | 6057914449 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | DR. MARK C. BALLARD (OWNER) |
| Authorized Official Telephone | 6057914442 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4683 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6200920 | 05 | |
| SD | BCBS INDIVIDUAL NUMBER | 0008113 | 01 |
| WY | 117665000 | 05 |
| Street Address |
208 FEDERAL AVE |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801909718 | Mark C Ballard | Obstetrics & Gynecology | 208 Federal Ave, Rapid City, SD 57702-2326 | 2006-08-16 |
| 1669949947 | Megan Christine Burgard | Nurse Practitioner | 208 Federal Ave, Rapid City, SD 57702-2326 | 2018-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434721 | Black Hills Obstetrics & Gynecology LLC | Obstetrics & Gynecology | 6015 Mount Rushmore Rd, Rapid City, SD 57701-8962 | 2020-07-09 |
| 1316050214 | Rushmore Ob-gyn PC | Obstetrics & Gynecology | 3006 Tower Rd, Rapid City, SD 57701-5392 | 2006-08-16 |
| 1801909718 | Mark C Ballard | Obstetrics & Gynecology | 208 Federal Ave, Rapid City, SD 57702-2326 | 2006-08-16 |
| 1497795769 | Rochelle M Christensen | Obstetrics & Gynecology | 7236 Jordan Dr, Suite 100 A, Rapid City, SD 57702-8740 | 2006-06-07 |
| 1730136383 | Marvin E Buehner | Obstetrics & Gynecology | 677 Cathedral Dr, Rapid City, SD 57701 | 2006-05-28 |
| 1750337069 | Black Hills Obstetrics and Gynecology LLP | Obstetrics & Gynecology | 677 Cathedral Drive, Rapid City, SD 57701 | 2006-05-26 |
| 1437568185 | Heather Ruth Moline | Obstetrics & Gynecology | 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | 2014-08-07 |
| 1396009825 | Katherine Jean Whaley | Obstetrics & Gynecology | 3006 Tower Rd, Rapid City, SD 57701-5392 | 2012-06-29 |
| 1255698767 | Michelle Krohn | Obstetrics & Gynecology | 677 Cathedral Dr, Rapid City, SD 57701-6018 | 2012-04-20 |
| 1457658049 | Rapid City Obstetrics and Gynecology | Obstetrics & Gynecology | 7236 Jordan Dr, Suite 100 A, Rapid City, SD 57702-8740 | 2011-02-17 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on BALLARD GYNECOLOGY PROF LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.