MR. RYAN JAMES BALLARD (NPI# 1780247320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780247320 |
| Entity Type | Individual |
| Full Name | MR. RYAN JAMES BALLARD |
| Credential | CRNA |
| Practice Address |
1000 W 10th St Rolla MO 65401-2905 |
| Mailing Address |
11528 Pine Forest Dr Rolla MO 65401-5427 |
| Practice Telephone | 5733649000 |
| Mailing Telephone | 5098552116 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2019011200 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025227 | Ryan Ballard | Peer Specialist | 589 E 8680 S, Sandy, UT 84070-1779 | 2019-07-22 |
| 1033488895 | Ryan Mckinley Ballard | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2011-12-23 |
| Street Address |
1000 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559076 | Phelps County Regional Medical Center | Skilled Nursing Facility | 1000 W 10th St, Rolla, MO 65401-2905 | 2005-09-21 |
| 1770192957 | Brandon Lamberth | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401-2905 | 2020-07-23 |
| 1669026670 | Patricia Lou Cox | Registered Nurse | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-07-29 |
| 1811555477 | Charles Joseph Krone | Anesthesiology | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-30 |
| 1194383711 | Collin Dobson | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-29 |
| 1104483718 | Blaine Goodman | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-20 |
| 1205304300 | Miracl, LLC | Clinic/Center | 1000 W 10th St, Rolla, MO 65401-2905 | 2018-11-06 |
| 1386142685 | Rachel Nacole Clark | Physician Assistant | 1000 W 10th St, Rolla, MO 65401-2905 | 2018-02-01 |
| 1629588314 | Patricia Ann French | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401 | 2017-10-06 |
| 1497278378 | Ariella Lee Schuler Martin | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401 | 2017-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003062100 | Physician Surgery Center | Nurse Anesthetist, Certified Registered | 1500 Hwy 72 East, Rolla, MO 65401-0000 | 2008-08-08 |
| 1689601742 | Robert A Morgan | Nurse Anesthetist, Certified Registered | 206 Brady Dr, Rolla, MO 65401-8430 | 2006-06-26 |
| 1396787545 | Jeffrey D Heese | Nurse Anesthetist, Certified Registered | 499 Countryside Dr, Rolla, MO 65401-4722 | 2006-06-12 |
| 1194383711 | Collin Dobson | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-29 |
| 1104483718 | Blaine Goodman | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2019-05-20 |
| 1609223742 | Becky Heidotten | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-05-18 |
| 1891142386 | Angela Delaria | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2016-05-16 |
| 1558761619 | Michael Jones | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2014-08-26 |
| 1285993782 | John Thomas Fitzgerald | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2012-05-04 |
| 1922237957 | James H Colench | Nurse Anesthetist, Certified Registered | 1000 W 10th St, Rolla, MO 65401-2905 | 2009-07-13 |
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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.