Mark G Ballif (NPI# 1376522573, PAC ID# 1850373952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1376522573 |
| PAC ID by PECOS | 1850373952 |
| Professional Enrollment ID | I20040802000878 |
| Full Name | Mark G Ballif |
| Organization Legal Name | MT OGDEN EYE CENTER LLC |
| Address |
4360 Washington Blvd Utah Eye Centers Ogden UT 84403-1866 |
| Phone Number | 8014760494 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 2860474962 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460039 | BEAR RIVER VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 | 8014760494 | MT OGDEN EYE CENTER LLC |
| Organization Legal Name | MT OGDEN EYE CENTER LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Garrett Coombs | Ophthalmology | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Rachel S Benator | Ophthalmology | Mt Ogden Eye Center LLC | 1025 E 3300, Salt Lake City, UT 84106-4389 |
| Michael B Wilcox | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Scott O Sykes | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
| Michael L Bullard | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Jed T Poll | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Patricia Ann Beaty | Optometry | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
| Robert William Wing | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Devin B Farr | Optometry | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Court R Wilkins | Optometry | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
| Street Address |
4360 WASHINGTON BLVD UTAH EYE CENTERS |
| City | OGDEN |
| State | UT |
| Zip | 84403-1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott O Sykes | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
| John D Armstrong | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Howes | Clinical Social Worker | 2748 Adams Ave, Ogden, UT 84403-0106 | |
| Greg M Pickett | Optometry | 1196 30th St, Ogden, UT 84403-0353 | |
| Mona D Oversteg | Occupational Therapy | 1771 Doxey St, Ogden, UT 84403-0523 | |
| Susan M Agres | Podiatry | 1322 32nd St, Ogden, UT 84403-0902 | |
| Lincoln J Dygert | Optometry | Ogden Vision Center | 3475 Harrison Blvd, Ogden, UT 84403-1230 |
| Scott D Peterson | Optometry | 3988 Washington Blvd, Ogden, UT 84403-1826 | |
| Krystal M Tipping | Certified Registered Nurse Anesthetist (crna) | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Julie I Dee | Anesthesiology | 4364 S Washington Blvd, Ogden, UT 84403-1866 | |
| David A Johnson | Anesthesiology | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Layne B Croxford | Certified Registered Nurse Anesthetist (crna) | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Find all physicians in zip 84403 | |||
| City | OGDEN |
| Zip Code | 84403 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | OGDEN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Mark G Ballif.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.