Individual provider Active NPI

Clifford R Ball, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1063674018
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45170 Issued in AZ
Practice address
3219 E Camelback Rd
Suite #545
Phoenix, AZ 85018-2307
Phone
(903) 276-7379
Fax
(602) 288-6500
NPI assigned
Jul 1, 2008
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45170 AZ Primary
Family Medicine Physician 207Q00000X E6346 AR

Addresses

Primary practice location

3219 E Camelback Rd
Suite #545
Phoenix, AZ 85018-2307

Mailing address

3219 E Camelback Rd
Suite #545
Phoenix, AZ 85018-2307
Phone (903) 276-7379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000499 AZ Practitioner - Family PracticePractitioner - Emergency Medicine 9032247200 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E6346ARMDFamily Medicine Physician
45170AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Sep 30, 2020 Accepting new patients
Afc of Tempe PLLC Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Afc Physical Medicine of San Tan Valley, PLLC CurrentSince Apr 29, 2012 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Afc Physical Medicine of Mesa, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Emcare Physician Providers, Inc Past Accepting new patients
Gold Star Medical LLC Past Accepting new patients
Med 97 LLC Past Accepting new patients
West Leslie ER Physicians LLC Past Accepting new patients

Locations

3011 S Lindsay Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 726-2500

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1839 S Alma School Rd
Mesa, AZ 85210
Phone (708) 612-1170

1839 S Alma School Rd
Ste 354
Mesa, AZ 85210

3130 E Baseline Rd
Ste 107
Mesa, AZ 85204
Phone (480) 345-1980

15256 N 75th Ave
Ste 360
Peoria, AZ 85381
Phone (623) 412-1259

1277 E Missouri Ave
Ste 101
Phoenix, AZ 85014
Phone (602) 296-4060

20860 N Tatum Blvd
Ste 290
Phoenix, AZ 85050
Phone (480) 563-1144

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

270 E Hunt Hwy
Ste A2
San Tan Vly, AZ 85143
Phone (480) 882-2222

2145 E Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 644-9443

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1063674018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD",
            "address_2": "SUITE #545",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "903-276-7379",
            "fax_number": "602-288-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD",
            "address_2": "SUITE #545",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "903-276-7379",
            "fax_number": "602-288-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "CLIFFORD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "45170",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E6346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.