Active NPI
Daniel J Ballard, MD
- Emergency Medicine Physician
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34786
- Practice address
- 1003 Willow Creek Rd
Prescott, AZ 86301-1641 - Phone
- (928) 445-2000
- NPI assigned
- May 11, 2006
- Last updated
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34786 | AZ | Primary |
Addresses
Primary practice location
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Mailing address
4202 E Coolidge St
Phoenix, AZ 85018-4236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34786 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Emergency Group of Arizona Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Medical Services of Prescott, Inc. | Emergency Medicine | Current | Accepting new patients |
| Valley Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Valley Emergency Physicians Inc | Emergency Medicine | Past | Accepting new patients |
| Emergency Physician Professional Association, LTD. | Emergency Medicine | Past | Accepting new patients |
Locations
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700
7700 E Florentine Rd
Prescott Vly, AZ 86314
Phone (928) 442-8657
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1396795472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 E COOLIDGE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850184236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011641",
"telephone_number": "928-445-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "34786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.