Active NPI
Anne T Ballinger, MD
- Military Health Care Provider
- Fort Huachuca, AZ
National Provider Identifier
1306928858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 15593
- Practice address
- 2240 Winrow Avenue
USA Meddac,Rwbahc
Fort Huachuca, AZ 85613-7079 - Phone
- (520) 533-2555
- Fax
- (520) 533-5603
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 15593 | AZ | Primary |
Addresses
Primary practice location
2240 Winrow Avenue
USA Meddac,Rwbahc
Fort Huachuca, AZ 85613-7079
Mailing address
PO Box 327
Sierra Vista, AZ 85636-0327
Phone (520) 459-0012
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15593 | AZ | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patoka Valley Radiology, PC | Past | Accepting new patients | |
| Dubois Co Phy Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Contractor
- Jasper, IN
- NPI 1316058472
-
- Diagnostic Radiology Physician
- Jasper, IN
- NPI 1255442307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306928858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 327",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856360327",
"telephone_number": "520-459-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 WINROW AVENUE",
"address_2": "USA MEDDAC,RWBAHC",
"city": "FORT HUACHUCA",
"state": "AZ",
"postal_code": "856137079",
"telephone_number": "520-533-2555",
"fax_number": "520-533-5603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLINGER",
"first_name": "ANNE",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "AZ",
"license": "15593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Huachuca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.