Darrell M. Ballinger, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036072705 Issued in IL

Practice address

6000 Bond Ave
East Saint Louis, IL 62207-2328

Phone

(618) 332-2740

Fax

(618) 332-8755

NPI assigned

Oct 5, 2006

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1700972833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BOND AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622072328",
            "telephone_number": "618-332-2740",
            "fax_number": "618-332-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BOND AVE",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622072328",
            "telephone_number": "618-332-2740",
            "fax_number": "618-332-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "DARRELL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036072705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072705",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Aczinowicz, PT
• Erin Brigid Alcazar, FNP
• Alix Home Healthcare Illinois LLC
• Gina Ash
• Donna Marie Avery, NP
• Christopher Wayne Barry, LMSW, CRADC
• Virginia L Behrhorst, BC APRN
• Theresa M Benassi-Powles, APN CNP
• Estelisa Bevely, RN
• Clydie Blackwell, RN

• Obstetrics & Gynecology Physician in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.