Collin E. Ball
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · London, KY
NPI 1619166378 · NPPES record last updated May 2, 2019
Key facts
- NPI
- 1619166378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 308 (KY)
- Practice address
- 160 London Mountain View Dr
London, KY 40741-6601 - Phone
- (606) 864-0770
- Fax
- (606) 864-1461
- NPI assigned
- Oct 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentuckyone Health Medical Group Inc
Practice addresses (Care Compare)
1 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 864-0770
1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000
1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370
1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429
148 London Mountain View Dr
Suite 4
London, KY 40741-6617
Phone (606) 864-0770
2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302
305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418
Hospital & facility affiliations
- Saint Joseph London
- Baptist Health Corbin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 31 |
| Removal of nail tissue | 80 |
| Removal or shaving of skin growth | 23 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081015000366 | KY | Practitioner - Podiatry | 8022176361 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308 | KY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckyone Health Medical Group, Inc. | Current |
Accepting new patients | |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Current |
Accepting new patients | |
| Cumberland Orthopaedics and Sports Medicine, PLLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880
1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000
1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744
740 E Laurel Rd
London, KY 40741
Phone (606) 877-3931
160 London Mountain View Dr
London, KY 40741
Phone (606) 678-9617
310 E 9th St
London, KY 40741
Phone (606) 878-2227
148 London Mountain View Dr
Ste 4
London, KY 40741
Phone (606) 878-1181
100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339
Interoperability endpoints
- collinball@kysjhspe.allscriptsdirect.net
- cball275099@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 308 | KY | Yes |
Addresses
Primary practice location
160 London Mountain View Dr
London, KY 40741-6601
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7840
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100057900 | Medicaid | KY |
Other names
- Dr. Collin E. Ball
NPI Registry JSON
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1619166378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7840",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 LONDON MOUNTAIN VIEW DR",
"city": "LONDON",
"state": "KY",
"postal_code": "407416601",
"telephone_number": "606-864-0770",
"fax_number": "606-864-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "COLLIN",
"middle_name": "E.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-18",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100057900",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLIN",
"last_name": "BALL",
"middle_name": "E.",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in London, KY
- Kailyn Renee Baker
- Lori Lee Baker
- Sarah Joy Baker
- Taylor C Baker
- Emily Brooke Balenovich
- McKenzie Faith Ball
- Melissa Robinette Ball
- Nola Ruth Ball
- Ashley Banks
- Christy Lane Banks
All providers in London, KY · Foot & Ankle Surgery Podiatrist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.