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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD26303 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Physician Associates, Apc | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Correy Lynn Ashcraft
- Assisted Living Concepts Inc
- Brian Douglas Augustyn
- Genevieve Bainbridge
- Monte Bainbridge
- Jacqueline Michele Barber
- Natosha Barker
- Terrie Barnhardt
- Bethany Barnhart
- David Bass
All providers in Prineville, OR · Emergency Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.