Organization Active NPI

Charles H Ballard Inc

  • Family Medicine Physician
  • Kihei, HI
National Provider Identifier
1508001686
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS735 Issued in HI
Legal business name
CHARLES H BALLARD INC
Practice address
2439 S Kihei Rd
Suite 206a
Kihei, HI 96753-7283
Phone
(808) 891-6001
Fax
(808) 891-1006
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Charles H Ballard, DO
Title
Owner
Phone
(808) 891-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS735 HI Primary

Addresses

Primary practice location

2439 S Kihei Rd
Suite 206a
Kihei, HI 96753-7283

Mailing address

2439 S Kihei Rd
Suite 206a
Kihei, HI 96753-7283
Phone (808) 891-6001

National Provider Directory

National Provider Directory

Locations

2439 S Kihei Rd
Ste 206A
Kihei, HI 96753
Phone (808) 781-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1508001686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 S KIHEI RD",
            "address_2": "SUITE 206A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537283",
            "telephone_number": "808-891-6001",
            "fax_number": "808-891-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 S KIHEI RD",
            "address_2": "SUITE 206A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537283",
            "telephone_number": "808-891-6001",
            "fax_number": "808-891-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H BALLARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-891-6001",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.