PETER G BALLAS II MD PA (NPI# 1992904338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992904338 |
| Entity Type | Organization |
| Organization Name | PETER G BALLAS II MD PA |
| Practice Address |
1905 Clint Moore Rd Suite 215 Boca Raton FL 33496-2658 |
| Practice Telephone | 5619899002 |
| Practice Fax Number | 5619949135 |
| Mailing Telephone | 5619899002 |
| Mailing Fax Number | 5619949135 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | DR. PETER G BALLAS II (PRESIDENT) |
| Authorized Official Telephone | 5619899002 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0046838 | FL | Other Service Providers |
| Street Address |
1905 CLINT MOORE RD SUITE 215 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831174242 | Brian K Kaplan | Internal Medicine | 1905 Clint Moore Rd, Suite 204, Boca Raton, FL 33496-2658 | 2005-12-08 |
| 1255970760 | Exillette Etienne Camille | Nurse Practitioner | 1905 Clint Moore Rd, Boca Raton, FL 33496-2658 | 2019-12-31 |
| 1578914800 | Jennifer Maria Gold | Physician Assistant | 1905 Clint Moore Rd, Suite 215, Boca Raton, FL 33496-2658 | 2016-06-28 |
| 1083073423 | Mr Health Group LLC | Clinic/Center | 1905 Clint Moore Rd, Ste 305, Boca Raton, FL 33496-2658 | 2016-02-13 |
| 1578932216 | Caroline E Rangel | Physician Assistant | 1905 Clint Moore Rd, Suite 309, Boca Raton, FL 33496-2658 | 2015-09-23 |
| 1083092829 | Central Palm Beach Physicians & Urgent Care Inc | Specialist | 1905 Clint Moore Rd, Suite 308, Boca Raton, FL 33496-2658 | 2015-05-13 |
| 1114304102 | Daniel S. Kovacs, M.d., P.a. | Plastic Surgery | 1905 Clint Moore Rd, Suite 101, Boca Raton, FL 33496-2658 | 2015-04-29 |
| 1497145957 | Stewart M. Kaskel M.d. | Internal Medicine | 1905 Clint Moore Rd, Ste 310, Boca Raton, FL 33496-2658 | 2015-02-04 |
| 1154735819 | Elite Dermatology and Aesthetic Institute, LLC | Family Medicine | 1905 Clint Moore Rd, Suite 203, Boca Raton, FL 33496-2658 | 2014-06-20 |
| 1427490002 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 1905 Clint Moore Rd, Suite 301, Boca Raton, FL 33496-2658 | 2013-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376089748 | Vipo Boca, Pllc | Specialist | 7001 N Federal Hwy Ste 104, Boca Raton, FL 33487-1612 | 2017-01-10 |
| 1548706062 | Rachel Fromer | Specialist | 7228 Carmel Ct, Boca Raton, FL 33433-5544 | 2017-01-07 |
| 1902354483 | Independence Technical Services P.C. | Specialist | 7000 West Palmetto Park Rd Ste 205, Boca Raton, FL 33433 | 2016-09-14 |
| 1467807180 | R&r Health Group LLC | Specialist | 1905 Clint Moore Rd Ste 306, Boca Raton, FL 33496-2661 | 2016-05-02 |
| 1235511767 | Joanne Bello | Specialist | 6196 Vista Linda Ln, Boca Raton, FL 33433-8225 | 2015-06-21 |
| 1194116673 | Samantha Sloane | Specialist | 1380 Parkside Cir S, Boca Raton, FL 33486-8555 | 2015-02-05 |
| 1043617368 | Az Tech Radiology and Open Mri LLC | Specialist | 22873 La Corniche Way, Boca Raton, FL 33433-6013 | 2014-12-02 |
| 1093112559 | Lise-anne Jensen | Specialist | 17940 S Military Trl Ste 200, Boca Raton, FL 33496-2412 | 2014-11-28 |
| 1861806663 | New York Diagnostic Services PC | Specialist | 7000 W Palmetto Park Road Suite 205, Boca Raton, FL 33433 | 2014-06-19 |
| 1013350685 | Anti-aging Institute of Florida | Specialist | 2263 Boca Raton Blvd, Suite 208, Boca Raton, FL 33431 | 2013-04-12 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
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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.