Charles S. Ball, MD – Pediatrics Physician

Key facts

NPI: 1073558052
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: C-7052 (AR)
Practice address: 3380 N Futrall Dr Ste 1
Fayetteville, AR 72703
Phone: (479) 442-7322
Fax: (479) 442-7379
NPI assigned: Jun 16, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Ozarks Medical Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	C-7052	AR	Yes

Addresses

Primary practice location

3380 N Futrall Dr Ste 1
Fayetteville, AR 72703

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other identifiers

Identifier	Type	State	Issuer
52909	Other	AR	AR BC/BS
115675001	Medicaid	AR

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	charles.ball@mana.eclinicaldirectplus.com	Direct

Other providers in Fayetteville, AR

Balance and Bloom a Wellness Collective PLLC
Balance Road PLLC
Abby Kauffman Baldwin, M.D.
Debora Kristen Baldwin, M.S.,CCC-SLP
Mary Kathryn Baldwin
Jordan Ball, DO
Fredrik J Balldin, MD
Amanda G Ballew, LPC
Pamela Irene Ballew, LCSW
Michelle Lynn Balli, PHARMD, BCACP

All providers in Fayetteville, AR · Pediatrics Physician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.