DR. PHILLIP AULT BALLARD JR. (NPI# 1508050071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508050071 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP AULT BALLARD JR. |
| Credential | MD |
| Practice Address |
1229 Madison Suite #820 Seattle WA 98104-3539 |
| Practice Telephone | 2064988766 |
| Practice Fax Number | 2067201595 |
| Mailing Telephone | 2064988766 |
| Mailing Fax Number | 2067201595 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD00011684 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1045202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912996505 | Phillip W Ballard | Family Medicine | 2610 Tenderfoot Hill St, Colorado Springs, CO 80906 | 2005-10-17 |
| Street Address |
1229 MADISON SUITE #820 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-3539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1053639690 | Nirupa Shah | Psychiatry & Neurology | 1734 Lake Washington Blvd, Seattle, WA 98122-3542 | 2010-05-06 |
| 1518292788 | Elham Rezvanian | Psychiatry & Neurology | University of Washington Medical Center Ss, 1959 North East Pacific Blvd, Seattle, WA 98195-0001 | 2009-10-06 |
| 1851528384 | Sarah Wahlster | Psychiatry & Neurology | 410 9th Ave N Fl 4, Seattle, WA 98109-4708 | 2009-06-11 |
| 1265632855 | Shu-ching Hu | Psychiatry & Neurology | Harborbiew Medixcal Center, 325 9th Ave, Seattle, WA 98104 | 2007-07-20 |
| 1295801371 | Christopher Angus Lawrence | Psychiatry & Neurology | 2915 E Madison St, Suite 305, Seattle, WA 98112-4265 | 2006-11-28 |
| 1699846691 | Lawerence C Murphy | Psychiatry & Neurology | 600 Broadway Ste 200, Seattle, WA 98122-5373 | 2006-11-13 |
| 1649353673 | Harold L. Rappaport | Psychiatry & Neurology | 5606 14th Ave Nw, Seattle, WA 98107-3715 | 2006-10-23 |
| Find all providers in SEATTLE | ||||
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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.