K. W. Ballentine, MD, PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

K. W. BALLENTINE, MD, PA

Practice address

420 Thomson Cir
Abbeville, SC 29620-5656

Phone

(803) 534-0053

Fax

(803) 534-0291

NPI assigned

Nov 16, 2006

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

K W Ballentine, MD

Title

President

Phone

(803) 534-0053

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kinchen Ballentine, MD

  • Body Imaging Physician
  • Abbeville, SC
  • NPI 1710046644
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1346313582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291162201",
            "telephone_number": "803-534-0053",
            "fax_number": "803-534-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THOMSON CIR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205656",
            "telephone_number": "803-534-0053",
            "fax_number": "803-534-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. W. BALLENTINE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-534-0053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C11223",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Marion Horton, DMD
• Kam Houghtaling, RN
• Tracie Johnson, RN
• Bruce Samuel Johnston, M.D.
• Joseph Frank Jones, LMSW
• Julie Knox, PHARM.D
• Sandy Knox, R.N.
• Charles A. Kolb, MD
• Alisa M Kollmann, MOT, OTR/L
• Lakelands Orthopaedic Clinic

• Diagnostic Radiology Physician in Abbeville, SC
• Providers in Abbeville, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.