ERICA T BALLARD (NPI# 1932542503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932542503 |
| Entity Type | Individual |
| Full Name | ERICA T BALLARD |
| Practice Address |
501 N Graham St Ste 200 Portland OR 97227-1654 |
| Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
| Practice Telephone | 5034134710 |
| Practice Fax Number | 5034134711 |
| Mailing Telephone | 5034134710 |
| Mailing Fax Number | 5034134711 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA169996 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710540844 | Erica Ballard | Behavioral Analyst | 1880 Glassboro Rd, Williamstown, NJ 08094-8721 | 2019-04-15 |
| 1922447853 | Erica Embry Ballard | Ophthalmology | 1229 E Seminole St Ste 430, Springfield, MO 65804 | 2013-06-25 |
| Street Address |
501 N GRAHAM ST STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869157 | Paula Deanne Dietsch Kuiper | Physician Assistant | 501 N Graham St, Suite 220, Portland, OR 97227-1654 | 2005-05-27 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| 1831640267 | Morgan Sue Huey | Physician Assistant | 501 N Graham St, Suite 415, Portland, OR 97227-1654 | 2016-10-20 |
| 1093169583 | Theresa Mcsherry | Nurse Practitioner | 501 N Graham St, Suite 555, Portland, OR 97227-1654 | 2016-04-20 |
| 1093172702 | Jeremy Alper | Pharmacist | 501 N Graham St, Portland, OR 97227-1654 | 2016-01-26 |
| 1003287269 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 501 N Graham St, Ste 255, Portland, OR 97227-1654 | 2015-10-14 |
| 1316321110 | Portland Ear, Nose & Throat Specialists | Specialist | 501 N Graham St, Suite 455, Portland, OR 97227-1654 | 2015-07-13 |
| 1942693908 | Leigh Warsing | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2015-03-13 |
| 1134521909 | Justin Hadaller | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2014-09-23 |
| 1346593357 | Portland Neurology & Sleep PC | Sleep Specialist, PhD | 501 N Graham St, Suite 515, Portland, OR 97227-1654 | 2012-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1871982975 | Colin Storz | Physician Assistant | 3623 N Borthwick Ave, Portland, OR 97227-1218 | 2015-01-13 |
| 1275888729 | Stephanie Calvin | Physician Assistant | 782 College St, Portland, TN 37148-2120 | 2012-07-20 |
| 1174800031 | Carolyn Frances Farrell | Physician Assistant | 450 N Graham St, Portland, OR 97227-1682 | 2011-11-07 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1124210778 | Honey E.l. Marques | Physician Assistant | 16279 Se Division St, Portland, OR 97236-1971 | 2007-08-16 |
| 1124177902 | Dmitriy Shore | Physician Assistant | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-09 |
| Find all providers in PORTLAND | ||||
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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.