Tamara Ball, MD
Individual provider Active NPI Emergency Medicine Physician · Fletcher, NC
NPI 1629023825 · NPPES record last updated Dec 26, 2007
Key facts
- NPI
- 1629023825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 9400409 (NC)
- Practice address
- Naples Road
Fletcher, NC 28732 - Phone
- (904) 805-1300
- Fax
- (904) 805-1302
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 9400409 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Ridge Hospital | Past | Accepting new patients | |
| Fletcher Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9400409 | NC | Yes |
Addresses
Primary practice location
Naples Road
Fletcher, NC 28732
Mailing address
PO Box 532666
Atlanta, GA 30353-2666
Phone (904) 805-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1283K | Other | NC | BLUE CROSS |
| 891283K | Medicaid | NC |
Other providers in Fletcher, NC
- Jennifer L. Arellano
- Christian Clay Ashley
- Avail Orthopedics
- Robert Daniel Avery Jr.
- B.H. Bernier, DDS, PLLC
- Pepper D. Basham
- David John Beamish
- Beckys Rest Home 1
- Jennifer Behrend
- Benchmark Physical Therapy of NC, LLC
All providers in Fletcher, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 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.