Active NPI
Ellen M. Ballard, M.D. PLLC
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
National Provider Identifier
1477824159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.
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- Cincinnati, OH
- NPI 1851494983
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.