Individual provider Active NPI

Roger Leon Ball

  • Medical Physician Assistant
  • Spanaway, WA
National Provider Identifier
1245250414
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60581899 Issued in WA
Practice address
225 176TH St S
Spanaway, WA 98387-9201
Phone
(253) 459-7770
NPI assigned
Jul 20, 2006
Last updated
Jan 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA60581899 WA
Medical Physician Assistant 363AM0700X PA60581899 WA Primary

Addresses

Primary practice location

225 176TH St S
Spanaway, WA 98387-9201

Mailing address

225 176TH St S
Spanaway, WA 98387-9201
Phone (253) 459-7770

Other names 1

  • Roger L Ball II Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160120000902 WA Practitioner - Physician Assistant 7911200282 Reassigns benefits to 1 organization
I20250103002466 TN Practitioner - Physician Assistant 7911200282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1193 Fort Campbell Blvd
Suite a
Clarksville, TN 37042-8881
Phone (931) 557-3026

1690 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 648-4838

2224 Madison St
Suite B
Clarksville, TN 37043-8043
Phone (931) 503-7015

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6223TNMDPharmacist
PA60581899WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Nov 11, 2024 Accepting new patients
Multicare Health System CurrentSince Feb 3, 2016 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Nov 11, 2024 Accepting new patients
Multicare Health System Medical CurrentSince Feb 3, 2016 Accepting new patients

Locations

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

225 176th St S
Spanaway, WA 98387
Phone (253) 240-2130

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1245250414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 176TH ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983879201",
            "telephone_number": "253-459-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 176TH ST S",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983879201",
            "telephone_number": "253-459-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ROGER",
        "middle_name": "LEON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60581899",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60581899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "BALL",
            "middle_name": "L",
            "suffix": "II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spanaway, WA

Sources for this page

Verify at the official NPI Registry.