Theodore Raymond Ball, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

35.024246 Issued in OH

Practice address

1255 W Main St
Ste a
Bellevue, OH 44811-9015

Phone

(419) 483-7240

Fax

(419) 483-2543

NPI assigned

Jul 26, 2006

Last updated

Aug 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1295758530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "address_2": "STE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-483-7240",
            "fax_number": "419-483-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W MAIN ST",
            "address_2": "STE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119015",
            "telephone_number": "419-483-7240",
            "fax_number": "419-483-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "THEODORE",
        "middle_name": "RAYMOND",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35.024246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie's Spa LLC
• Audrich, Inc. (Bellevue Care Center)
• Audrich, Inc. (Orchard Grove Assisted Living)
• Ball Medical Clinic Inc
• Benjamin Edward Ball, D.O.
• William R Bauer, MD, PHD
• Bayless Pathmark Inc
• Joshua Bays
• Christina Lynn Beatty, LPN
• Dawn M Beckman

• Adult Medicine Physician in Bellevue, OH
• Providers in Bellevue, OH by specialty
• Adult Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.