Daniel S Ballin, M.D.

Individual provider Active NPI Emergency Medicine Physician · Prineville, OR

NPI 1497783344 · NPPES record last updated Jul 11, 2007

Key facts

NPI
1497783344
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
MD26303 (OR)
Practice address
1201 N Elm
Prineville, OR 97754-1206
Phone
(541) 447-6254
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26303ORMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physician Associates, Apc Emergency Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD26303 OR Yes

Addresses

Primary practice location

1201 N Elm
Prineville, OR 97754-1206

Mailing address

505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180

Other providers in Prineville, OR

All providers in Prineville, OR · Emergency Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.