Active NPI
Michele K Ballou, MD
- Pulmonary Disease Physician
- Low Moor, VA
National Provider Identifier
1730184789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101036698
- Practice address
- 200 Arh Lane
Ste. 102
Low Moor, VA 24457-0007 - Phone
- (540) 862-6710
- Fax
- (540) 862-9167
- NPI assigned
- Jun 16, 2005
- Last updated
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101036698 | VA | Primary |
Addresses
Primary practice location
200 Arh Lane
Ste. 102
Low Moor, VA 24457-0007
Mailing address
PO Box 457
White Sulphur Springs, WV 24986-0457
Phone (304) 536-5030
Other practice location 1
Jackson River Internist
1 Arh Lane, Ste. 300
Low Moor, VA 24457
Phone (540) 862-6710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006099483 | Medicaid | VA |
Other names 1
- Michele K Krick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1730184789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249860457",
"telephone_number": "304-536-5030",
"fax_number": "866-903-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ARH LANE",
"address_2": "STE. 102",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "244570007",
"telephone_number": "540-862-6710",
"fax_number": "540-862-9167"
}
],
"practiceLocations": [
{
"address_1": "JACKSON RIVER INTERNIST",
"address_2": "1 ARH LANE, STE. 300",
"address_purpose": "LOCATION",
"city": "LOW MOOR",
"state": "VA",
"postal_code": "24457",
"country_code": "US",
"telephone_number": "540-862-6710",
"fax_number": "540-862-5727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLOU",
"first_name": "MICHELE",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101036698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006099483",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "KRICK",
"middle_name": "K",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Low Moor, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.