Active NPI
David Joseph Ball, DO
- Orthopaedic Surgery Physician
- Bloomsburg, PA
National Provider Identifier
1205809407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS006155L
- Practice address
- 2701 Columbia Blvd
Ste a
Bloomsburg, PA 17815-8804 - Phone
- (570) 387-2282
- Fax
- (570) 387-2287
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OS006155L | PA | |
| Orthopaedic Surgery Physician | 207X00000X | OS006155L | PA | Primary |
Addresses
Primary practice location
2701 Columbia Blvd
Ste a
Bloomsburg, PA 17815-8804
Mailing address
2701 Columbia Blvd
Ste a
Bloomsburg, PA 17815-8804
Phone (570) 387-2282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015666770008 | Medicaid | PA | |
| 0015666770009 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Physicians P C | Past | Accepting new patients |
Interoperability endpoints
- dball155@yourcarecommunity.org
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.
-
- Surgery Physician
- Philadelphia, PA
- NPI 1649482522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1205809407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 COLUMBIA BLVD",
"address_2": "STE A",
"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": "STE A",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158804",
"telephone_number": "570-387-2282",
"fax_number": "570-387-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS006155L",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OS006155L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015666770008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015666770009",
"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 Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.