Mark G Ballif, M.D.,

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

176195-1205 Issued in UT

Practice address

4360 Washington Blvd
Ogden, UT 84403-1866

Phone

(801) 476-0494

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drballif@utaheye.imwdirect.com
• Direct secure messaging: mballif@utaheyecenters.intellechartdirect.net

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.

• Cataract & Lasik Center of Utah PC

  • Ambulatory Surgical Clinic/Center
  • Pleasant Grove, UT
  • NPI 1164613790
  NPD
• Cataract & Lasik Center of Utah PC

  • Ophthalmology Physician
  • Pleasant Grove, UT
  • NPI 1447378302
  NPD
• Mt. Ogden Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Ogden, UT
  • NPI 1659336881
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1376522573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844036529",
            "telephone_number": "801-476-0494",
            "fax_number": "801-476-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIF",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "176195-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D. Joan Balcombe, MD
• Shannon Marie Baldwin, LCSW
• Loren Ball
• Amanda Ballard
• Lynette Ballard, LCSW
• Bethany Balling
• Brett Ballingham
• Suzanne Ballingham, F.N.P.
• Rachel Baltazar, CRNA
• Kurt D Bangerter, MD

• Ophthalmology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.