NPIMap

Individual provider Active NPI

Rex A. Ballinger, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1124089560
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1409 Issued in NC
Practice address
10 N Greene St
RM 2D-168
Baltimore, MD 21201-1524
Phone
(410) 605-7000
Fax
(410) 605-7232
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1409NCMDOptometrist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1409 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

10 N Greene St
RM 2D-168
Baltimore, MD 21201-1524

Mailing address

10 N Greene St
VA Marlyand Health Care System
Baltimore, MD 21201
Phone (410) 605-7230

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
17-10004OtherVA DR. ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 17, 2007.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1124089560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "address_2": "VA MARLYAND HEALTH CARE SYSTEM",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-605-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "address_2": "RM 2D-168",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011524",
            "telephone_number": "410-605-7000",
            "fax_number": "410-605-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "REX",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA DR. ID",
            "identifier": "17-10004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.