MS. SHELBY BALLARON (NPI# 1457842924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457842924 |
| Entity Type | Individual |
| Full Name | MS. SHELBY BALLARON |
| Credential | PA-C |
| Practice Address |
171 Elden St Ste 3b Herndon VA 20170-4875 |
| Practice Telephone | 7037099771 |
| Practice Fax Number | 8885190045 |
| Mailing Telephone | 7037099771 |
| Mailing Fax Number | 8885190045 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | VA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0110-006205 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1841550035 | 05 |
| Street Address |
171 ELDEN ST STE 3B |
| City | HERNDON |
| State | VA |
| Zip Code | 20170-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659896876 | Beautiful Skin Institute, Pllc | Clinic/Center | 171 Elden St Ste 3b, Herndon, VA 20170-4875 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391506 | Ashley Powell | Counselor | 435a Carlisle Dr Ste 103, Herndon, VA 20170 | 2019-05-13 |
| 1841781176 | Virginia Medical Transport, LLC. | Ambulance | 360 Herndon Pkwy Ste 700, Herndon, VA 20170 | 2018-05-22 |
| 1508378332 | Warm Touch Home Care LLC | In Home Supportive Care | 492 Alabama Dr, Herndon, VA 20170 | 2017-11-02 |
| 1154847853 | Elhady Dental Pllc | Dentist | 131 Elden St #130, Herndon, VA 20170 | 2017-08-15 |
| 1841736956 | Julian Badawy | Social Worker | 425 Carlisle Drive, Herndon, VA 20170 | 2017-01-12 |
| 1942742861 | Dr. Mojdeh Vessali Family Dentistry | Dentist | 505 Huntmar Park Drive, #150, Herndon, VA 20170 | 2016-11-09 |
| 1043614308 | Scott Taylor Young | Chiropractor | 905 Herndon Parkway, Suite B, Herndon, VA 20170 | 2014-10-15 |
| 1942614706 | Desiree Debutts Farren | Counselor | 425-b Carlisle Drive, Herndon, VA 20170 | 2014-06-19 |
| 1003229006 | Angels Home Health Care LLC | Home Health | 626 Grant Street, Suite # K, Herndon, VA 20170 | 2014-06-06 |
| 1457608986 | Dental Center of Herndon | Dentist | 1110 Elden St., Suite E108, Herndon, VA 20170 | 2012-08-15 |
| Find all providers in zip 20170 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894908 | Jean Evans | Physician Assistant | 3103 Dower House Dr, Herndon, VA 20171-2240 | 2020-06-02 |
| 1831750017 | Cindy Nguyen | Physician Assistant | 13628 Old Dairy Rd, Herndon, VA 20171-4015 | 2019-06-27 |
| 1730742594 | Deepika Mathialagan | Physician Assistant | 590 Grove St, Herndon, VA 20170-4725 | 2019-04-17 |
| 1407220353 | Srividya Thotakura | Physician Assistant | 13158 Ruby Lace Ct, Herndon, VA 20171-2337 | 2015-11-16 |
| 1912202664 | Fella Ezzekmi-aksouh | Physician Assistant | 201 Elden St, Ste #101, Herndon, VA 20170-4853 | 2011-01-11 |
| 1376868190 | Weiyu Xie | Physician Assistant | 722 A Grant Street, Herndon, VA 20170-4533 | 2010-04-05 |
| 1386668572 | Lara Elizabeth Johnson | Physician Assistant | 13203 Ladybank Ln, Herndon, VA 20171-4031 | 2006-07-27 |
| 1285104216 | Tracy Tartaglione | Physician Assistant | 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171-4095 | 2018-12-03 |
| 1497992366 | Jennifer Blanding | Physician Assistant | 150 Elden St, Suite 240, Herndon, VA 20170-4861 | 2009-01-14 |
| 1184884454 | Amy Lynn Keefer | Physician Assistant | 1244 State Route 225, Herndon, PA 17830-7324 | 2008-06-11 |
| Find all providers in HERNDON | ||||
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| 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.