Ballard Glenn Blair (NPI# 1356350201, PAC ID# 8921120718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1356350201 |
| PAC ID by PECOS | 8921120718 |
| Professional Enrollment ID | I20111213000339 |
| Full Name | Ballard Glenn Blair |
| Address |
375 Bridgeport Ave Shelton CT 06484-3844 |
| Gender | M |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 375 Bridgeport Ave, Shelton, CT 06484-3844 |
| Street Address |
375 BRIDGEPORT AVE |
| City | SHELTON |
| State | CT |
| Zip | 06484-3844 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Saracco | Podiatry | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Ernest D Moritz | Hospice/palliative Care | Northeast Medical Group Inc | 175 Sherman Ave, Shelton, CT 06484 |
| Suzanne B Guerrucci | Clinical Social Worker | 163 Leavenworth Rd, Shelton, CT 06484-2112 | |
| Donna A Nickdow | Clinical Social Worker | 476 Howe Ave, Suite 4, Shelton, CT 06484-3153 | |
| Anthony G Infantino | Physical Medicine and Rehabilitation | National Health Rehabilitation LLC | 45 Maltby St, Shelton, CT 06484-3328 |
| Joseph S Madrak | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Howard R Cohen | Optometry | Dr Joseph S Madrak Od LLC | 190 Coram Ave, Shelton, CT 06484-3347 |
| Stephanie G Pettingle | Nurse Practitioner | Griffin Faculty Physicians Inc | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| John G Strugar | Neurosurgery | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Christina Gugliotti | Physician Assistant | Neurosurgery Orthopaedics and Spine Specialists PC | 330 Bridgeport Ave, Shelton, CT 06484-3861 |
| Find all physicians in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| Specialty | PODIATRY |
| City + Specialty | SHELTON + PODIATRY |
Please comment or provide details below to improve the information on Ballard Glenn Blair.
| 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.