NPIMap

Organization Active NPI

Noble L Ballard.Medical Clinic, PLLC

  • Family Medicine Physician
  • Altus, OK
National Provider Identifier
1265592141
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8237 Issued in OK
Legal business name
NOBLE L BALLARD.MEDICAL CLINIC, PLLC
Practice address
1015 East Broadway Street
Stuite 101
Altus, OK 73521
Phone
(580) 480-1900
Fax
(580) 477-1936
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Noble Lee Ballard V, M. D.NPI 1639125727
Title
Doctor
Phone
(580) 480-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 8237 OK Primary

Addresses

Primary practice location

1015 East Broadway Street
Stuite 101
Altus, OK 73521

Mailing address

1015 East Broadway Street
Stuite 101
Altus, OK 73521
Phone (580) 480-1900

National Provider Directory

National Provider Directory

Locations

1001 E Broadway St
Altus, OK 73521
Phone (580) 480-1600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1265592141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 EAST BROADWAY STREET",
            "address_2": "STUITE 101",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "580-480-1900",
            "fax_number": "580-477-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EAST BROADWAY STREET",
            "address_2": "STUITE 101",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "73521",
            "telephone_number": "580-480-1900",
            "fax_number": "580-477-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE L BALLARD.MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "580-480-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "8237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.