JOHN A BALLERT (NPI# 1831304088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831304088 |
| Entity Type | Individual |
| Full Name | JOHN A BALLERT |
| Credential | MD |
| Practice Address |
2605 Kentucky Ave Suite 601 Paducah KY 42003-3800 |
| Mailing Address |
2605 Kentucky Ave Suite 306 Paducah KY 42003-3800 |
| Practice Telephone | 2704084368 |
| Practice Fax Number | 2704083272 |
| Mailing Telephone | 2704157653 |
| Mailing Fax Number | 2705758359 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | TP352 | KY | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | ME104223 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100138780 | 05 |
| Street Address |
2605 KENTUCKY AVE SUITE 601 |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152279 | Michael A Sexton | Audiologist | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2005-05-24 |
| 1841739612 | Baptist Health Medical Group Obgyn | Specialist/Technologist, Other | 2605 Kentucky Ave, Suite 301, Paducah, KY 42003-3800 | 2017-02-14 |
| 1508314212 | Felicia Cooper | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2016-09-12 |
| 1013388784 | Alexa T Payne | Nurse Practitioner | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2015-10-07 |
| 1679941579 | Valerie Marie Clark | Nurse Practitioner | 2605 Kentucky Ave, Suite 304, Paducah, KY 42003-3800 | 2015-09-09 |
| 1922401611 | Baptist Health Medical Group Inc | Psychologist | 2605 Kentucky Ave, Suite 306, Paducah, KY 42003-3800 | 2014-10-08 |
| 1992117402 | Adrian Leigh Holmes | Nurse Practitioner | 2605 Kentucky Ave, Suite 202, Paducah, KY 42003-3800 | 2014-06-02 |
| 1336563543 | Advanced Internal Medicine Pllc | Internal Medicine | 2605 Kentucky Ave, Suite 402, Paducah, KY 42003-3800 | 2014-02-07 |
| 1215278734 | Shelby Nicole Snow | Nurse Practitioner | 2605 Kentucky Ave, Suite 501, Paducah, KY 42003-3800 | 2013-03-07 |
| 1174882658 | Robert James Learch | Internal Medicine | 2605 Kentucky Ave, Suite 602, Paducah, KY 42003-3800 | 2012-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790953768 | Western Baptist Medical Ventures, Inc. | Otolaryngology | 2601 Kentucky Ave Ste 201, Paducah, KY 42003-3825 | 2008-02-13 |
| 1821051152 | Shawn Curtis Jones | Otolaryngology | 2605 Kentucky Ave Ste 601, Paducah, KY 42003-3806 | 2006-04-08 |
| 1407854037 | Rockne L. Brubaker | Otolaryngology | 225 Medical Center Drive, Suite 303, Paducah, KY 42003-7934 | 2005-07-08 |
| 1891797940 | Albert Speach | Otolaryngology | 225 Medical Center Dr Ste 303, Paducah, KY 42003-7915 | 2005-06-01 |
| 1891891776 | Ear Nose & Throat Group Psc | Otolaryngology | 2601 Kentucky Ave, Suite 201, Paducah, KY 42003 | 2006-09-16 |
| 1093749178 | James E Zellmer | Otolaryngology | 2601 Kentucky Ave., Doc. Bldg. 1, Ste. 201, Paducah, KY 42003 | 2006-07-11 |
| 1174557250 | John E Mccracken | Otolaryngology | 2601 Kentucky Ave, Doc. Bldg.1, Ste 201, Paducah, KY 42003 | 2006-07-11 |
| 1346274438 | James M Hawkins | Otolaryngology | 3131 Parisa Dr, Paducah, KY 42003-4584 | 2006-07-11 |
| 1912930777 | Mark C Rusten | Otolaryngology | 2605 Kentucky Ave, Dob 3, Suite 601, Paducah, KY 42003-3800 | 2006-07-07 |
| 1891758124 | John Randall Resser | Otolaryngology | 2605 Kentucky Ave, Suite 601, Paducah, KY 42003-3800 | 2006-04-08 |
| Find all providers in PADUCAH | ||||
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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.