DR. MARK G BALLIF


Address: 4360 Washington Blvd, Ogden, UT 84403-1866
Phone: 8014760494

DR. MARK G BALLIF (NPI# 1376522573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376522573
Entity Type Individual
Full Name DR. MARK G BALLIF
Credential M.D.,
Practice Address 4360 Washington Blvd
Ogden
UT 84403-1866
Mailing Address 4360 Washington Blvd
Ogden
UT 84403-6529
Practice Telephone 8014760494
Mailing Telephone 8014760494
Mailing Fax Number 8014760067
Enumeration Date 2006-01-16
Last Update Date 2017-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 176195-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 4360 WASHINGTON BLVD
City OGDEN
State UT
Zip Code 84403-1866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629064027 Robert Willliam Wing Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2005-09-21
1992123376 Brock C Hansen Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2014-04-02
1750643896 Devin B Farr Optometrist 4360 Washington Blvd, Ogden, UT 84403-1866 2012-06-14
1326351727 Michael Lonnie Bullard Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2010-07-14
1629282439 Ogden Refractive, L.L.C. Clinic/Center 4360 Washington Blvd, Ste. A, Ogden, UT 84403-1866 2007-05-10
1700927043 Mt Ogden Eye Center LLC Optometrist 4360 Washington Blvd, Ogden, UT 84403-1866 2007-02-09
1376656124 Jed T Poll Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2006-08-16
1841200284 Claron Douglas Alldredge Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2006-08-08
1053391771 Michael B Wilcox Ophthalmology 4360 Washington Blvd, Ogden, UT 84403 2006-01-19
1932188133 John D Armstrong Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2006-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235744632 Megan Louise Larkins Specialist/Technologist 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 2020-09-11
1154959062 Joshua Clifford Hansen Student in an Organized Health Care Education/Training Program 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 2020-03-28
1346895935 Positional Release Therapy Institute LLC Specialist/Technologist 1702 E. 5600 S., Ogden, UT 84403 2019-08-09
1841842077 Braken Wooden Chiropractor 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 2019-07-09
1023670569 Wasatch Advanced Dental Care LLC Dentist 3590 Harrison Blvd Suite #1, Ogden, UT 84403 2019-07-05
1194237636 Marci Niemeyer Physician Assistant 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 2017-10-24
1578081949 Stephanie Jensen Specialist/Technologist 1473 36th Street, Ogden, UT 84403 2017-09-06
1891213385 Forrest Sutherland Specialist/Technologist 1075 E 41st St., Ogden, UT 84403 2017-09-05
1184159022 Nicole Lee Van Tassell In Home Supportive Care 1496 East 5600 South, Unit 6, Ogden, UT 84403 2017-04-28
1265889166 Modern Dental Professionals Ut, PC Dentist 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 2016-05-20
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912989518 David E Brodstein Ophthalmology 874 Country Hills Dr, Ogden, UT 84403-2208 2005-11-18
1457333064 Bradley W Richards Ophthalmology 875 Country Hills Dr, Ogden, UT 84403-2200 2005-11-18
1629064027 Robert Willliam Wing Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2005-09-21
1992123376 Brock C Hansen Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2014-04-02
1437416500 Brice J. Williams, M.d., P.C. Ophthalmology 4403 Harrison Blvd., Ste-3600, Ogden, UT 84403-3285 2012-04-13
1326351727 Michael Lonnie Bullard Ophthalmology 4360 Washington Blvd, Ogden, UT 84403-1866 2010-07-14
1831329309 Jackson Lever Ophthalmology 875 Country Hills Dr, Ogden, UT 84403-2200 2009-07-20
1154574390 Brice Jason Williams Ophthalmology 4403 Harrison Blvd., Suite 3600, Ogden, UT 84403-3285 2008-10-31
1073797809 Benjamin T Dastrup Ophthalmology 875 Country Hills Dr, Ogden, UT 84403-2200 2007-12-28
1912001165 Fred E Clayson Md PC Ophthalmology 4403 Harrison Blvd, #3600, Ogden, UT 84403-3285 2006-09-09
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City OGDEN
Zip Code 84403

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Dataset Information

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.

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