Ballard Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G017510 Issued in CA

Legal business name

BALLARD MEDICAL CORPORATION

Practice address

1115 Whiskeytown CT
Suite B
Redding, CA 96001-0227

Phone

(530) 244-9750

Fax

(530) 244-0960

NPI assigned

Nov 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Morris Robert Ballard, M.D.NPI 1881716256

Title

President

Phone

(530) 244-9750

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Morris Robert Ballard, M.D.

  • Family Medicine Physician
  • Redding, CA
  • NPI 1881716256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629149984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WHISKEYTOWN CT",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-244-9750",
            "fax_number": "530-244-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WHISKEYTOWN CT",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-244-9750",
            "fax_number": "530-244-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-244-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G017510",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G14717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0001720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ89207Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Health by Ereka, LLC
• Brandon Baldwin, PA-CERTIFIED
• Dawnae Linn Baldwin
• David Loren Ball, M DIV MS MFT
• Jenna Alaine Ball, M.A., BCBA
• Kevin Ballard
• Morris Robert Ballard, M.D.
• Taylor Robert Ballard, PA-C
• Polly Bambauer, PPS
• Prathibha Banda

• Family Medicine Physician in Redding, CA
• Providers in Redding, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.