Organization Active NPI

David J Ball DO PC

  • Orthopaedic Surgery Physician
  • Bloomsburg, PA
National Provider Identifier
1013036565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS006155L Issued in PA
Legal business name
DAVID J BALL DO PC
Practice address
2701 Columbia Blvd
Suite 2
Bloomsburg, PA 17815-8804
Phone
(570) 387-2282
Fax
(570) 387-2287
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David J Ball, DO
Title
Owner
Phone
(570) 387-2282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OS006155L PA Primary

Addresses

Primary practice location

2701 Columbia Blvd
Suite 2
Bloomsburg, PA 17815-8804

Mailing address

2701 Columbia Blvd
Suite 2
Bloomsburg, PA 17815-8804
Phone (570) 387-2282

Other identifiers 2

IdentifierTypeStateIssuer
0015666770008MedicaidPA
1205809407OtherPAIND NPI

National Provider Directory

National Provider Directory

Locations

2701 Columbia Blvd
Ste A
Bloomsburg, PA 17815
Phone (570) 387-2282

2701 Columbia Blvd
Ste 2
Bloomsburg, PA 17815
Phone (570) 387-2282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013036565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 COLUMBIA BLVD",
            "address_2": "SUITE 2",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158804",
            "telephone_number": "570-387-2282",
            "fax_number": "570-387-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 COLUMBIA BLVD",
            "address_2": "SUITE 2",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158804",
            "telephone_number": "570-387-2282",
            "fax_number": "570-387-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J BALL DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-387-2282",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS006155L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015666770008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1205809407",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.