Ballard Gynecology Prof LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4683 Issued in SD

Legal business name

BALLARD GYNECOLOGY PROF LLC

Practice address

208 Federal Ave
Rapid City, SD 57702-2326

Phone

(605) 791-4442

Fax

(605) 791-4449

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mark C. Ballard, M.D.

Title

Owner

Phone

(605) 791-4442

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1336589936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FEDERAL AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022326",
            "telephone_number": "605-791-4442",
            "fax_number": "605-791-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FEDERAL AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022326",
            "telephone_number": "605-791-4442",
            "fax_number": "605-791-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD GYNECOLOGY PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-791-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "4683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117665000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200920",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL NUMBER",
            "identifier": "0008113",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Baird, DPT
• Balanced Body Massage
• Kimberly Sierra Balay, M.D.
• Jody Lynn Balcom-Hall, LPN
• Bailee Baldwin
• Patricia L Bambeck, CNP
• Angela Sue Banley, MA, LPC, QMHP
• Denise Marie Baragar, CNP
• Yamuna Baral
• Laura Barbera, MS, CCC, SLP

• Obstetrics & Gynecology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Obstetrics & Gynecology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.