Organization Active NPI

Charles J Ballay II, MD, PA

  • Otolaryngology Physician
  • Kerrville, TX
National Provider Identifier
1316140221
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
M6514 Issued in TX
Legal business name
CHARLES J BALLAY II, MD, PA
Practice address
1331 Bandera Hwy
Suite 1a
Kerrville, TX 78028-9515
Phone
(830) 896-8001
Fax
(830) 896-9700
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Charles Joseph Ballay II, M.D.
Title
President
Phone
(830) 896-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X M6514 TX Primary

Addresses

Primary practice location

1331 Bandera Hwy
Suite 1a
Kerrville, TX 78028-9515

Mailing address

218 Quinlan St
Box 475
Kerrville, TX 78028-5314
Phone (830) 896-8001

National Provider Directory

National Provider Directory

Locations

1111 Medical Center Blvd
Ste N707
Marrero, LA 70072
Phone (504) 934-8550

1331 Bandera Hwy
Ste 1A
Kerrville, TX 78028
Phone (830) 896-8001

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1316140221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 QUINLAN ST",
            "address_2": "BOX 475",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285314",
            "telephone_number": "830-896-8001",
            "fax_number": "830-896-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY",
            "address_2": "SUITE 1A",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289515",
            "telephone_number": "830-896-8001",
            "fax_number": "830-896-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J BALLAY II, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "BALLAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-896-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M6514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.