MR. KELLY A BALLIET (NPI# 1699766063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699766063 |
| Entity Type | Individual |
| Full Name | MR. KELLY A BALLIET |
| Credential | MD |
| Practice Address |
5200 Chambers St Josephs Hospital Milwaukee WI 53200 |
| Mailing Address |
4360 Hwy 167 Hubertus WI 53033-9428 |
| Practice Telephone | 4144472171 |
| Mailing Telephone | 2626288775 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 30648020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RAILROAD MEDICARE | P00230317 | 01 |
| WI | 31768000 | 05 | |
| WI | DEAN | 13860 | 01 |
| WI | TOUCHPOINT | 30648 | 01 |
| Street Address |
5200 CHAMBERS ST JOSEPHS HOSPITAL |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700705 | Omega Prenatal Care Coordination Services LLC | Case Management | 9921 W Dean Rd, Milwaukee, WI 53224-2446 | 2020-11-06 |
| 1881295863 | Emotive Action Counseling Services LLC | Psychologist | 9235 W Capitol Dr Ste 402, Milwaukee, WI 53222-1567 | 2020-11-05 |
| 1972104156 | Alliance Ent and Hearing Center, Sc | Otolaryngology | 2524 E Webster Place, Suite 201, Milwaukee, WI 53211-4257 | 2020-11-04 |
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1700486602 | Butler Orthopedics, LLP | Orthopaedic Surgery | 3237 S 16th St Ste 210, Milwaukee, WI 53215-4526 | 2020-10-29 |
| 1407456965 | Cassandra Lee Mccormick | Music Therapist | Zablocki Vamc Recreation/creative Arts Therapy, Milwaukee, WI 53295-0001 | 2020-10-26 |
| 1841899390 | Erinn Kulba | Recreation Therapist | 5000 W National Ave Ofc 103, Milwaukee, WI 53295-0001 | 2020-10-25 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| Find all providers in MILWAUKEE | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| 1285963116 | Randall Levin | Emergency Medicine | 201 W Bergen Dr, Milwaukee, WI 53217-2308 | 2009-12-24 |
| 1003935925 | Andrea Michelle Kraus | Emergency Medicine | 3237 S 16th St Ste 100, Milwaukee, WI 53215-4526 | 2007-03-29 |
| 1427147990 | Nancy L. Dovin | Emergency Medicine | 2104 N Hi Mount Blvd, Milwaukee, WI 53208-1111 | 2006-10-12 |
| 1750304283 | Kimberly A Ridl | Emergency Medicine | 4500 National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| 1821013277 | Gail Hendley | Emergency Medicine | 500 W Chambers St, Milwaukee, WI 53212-2308 | 2006-07-13 |
| 1356396840 | Kelly Hedlund Kanter | Emergency Medicine | 111 E Wisconsin Avenue, Milwaukee, WI 53202-4815 | 2006-05-23 |
| Find all providers in MILWAUKEE | ||||
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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.