Organization Active NPI

WF Ballesteros MD

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1346416542
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
H6770 Issued in TX
Legal business name
WF BALLESTEROS MD
Practice address
3901 Fairwood CT
Midland, TX 79707-1428
Phone
(432) 697-1562
Fax
(432) 699-3801
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Wellington F Ballesteros, MD
Title
Owner
Phone
(432) 697-1562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X H6770 TX Primary

Addresses

Primary practice location

3901 Fairwood CT
Midland, TX 79707-1428

Mailing address

3901 Fairwood CT
Midland, TX 79707-1428
Phone (432) 697-1562

Other identifiers 2

IdentifierTypeStateIssuer
00B18XOtherTXBLUE CROSS BLUE SHEILD
130229103MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1346416542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 FAIRWOOD CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071428",
            "telephone_number": "432-697-1562",
            "fax_number": "432-699-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 FAIRWOOD CT",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071428",
            "telephone_number": "432-697-1562",
            "fax_number": "432-699-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WF BALLESTEROS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-697-1562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "H6770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "00B18X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130229103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.