Organization Active NPI

Ellen M. Ballard, M.D. PLLC

  • Physical Medicine & Rehabilitation Physician
  • Louisville, KY
National Provider Identifier
1477824159
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ELLEN M. BALLARD, M.D. PLLC
Practice address
1941 Bishop LN Ste 402
Louisville, KY 40218-1922
Phone
(502) 456-2677
Fax
(502) 458-2163
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Ellen M Ballard, M.D.
Title
Physician
Phone
(502) 456-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1941 Bishop LN Ste 402
Louisville, KY 40218-1922

Mailing address

1941 Bishop LN Ste 402
Louisville, KY 40218-1922
Phone (502) 456-2677

Other practice location 1

268 Southland Dr Ste 100
Lexington, KY 40503-1938
Phone (502) 456-2677

National Provider Directory

National Provider Directory

Locations

268 Southland Dr
Ste 100
Lexington, KY 40503
Phone (502) 456-2677

1941 Bishop Ln
Ste 402
Louisville, KY 40218
Phone (502) 456-2677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1477824159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 402",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181922",
            "telephone_number": "502-456-2677",
            "fax_number": "502-458-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BISHOP LN STE 402",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181922",
            "telephone_number": "502-456-2677",
            "fax_number": "502-458-2163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Southland Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031938",
            "country_code": "US",
            "telephone_number": "502-456-2677",
            "fax_number": "502-458-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLEN M. BALLARD, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-456-2677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.