Ball Dermpath, PA

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

Legal business name

BALL DERMPATH, PA

Practice address

2006 New Garden Rd
Suite 106
Greensboro, NC 27410-2566

Phone

(336) 609-6240

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Russell Ball, M.D.

Title

Owner/Dermatopathologist

Phone

(336) 609-6240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Abernethy, M.D.

  • Dermatopathology (Pathology) Physician
  • Winston Salem, NC
  • NPI 1932219029

  Dermatopathology, NC

  Medicare reassignment Care Compare group NPD
• Radoslaw Filip Bieniek, M.D.

  • Dermatopathology (Pathology) Physician
  • Greensboro, NC
  • NPI 1083853006

  Dermatopathology, NC

  Medicare reassignment Care Compare group NPD
• Viktor N Goncharuk, M.D.

  • Anatomic Pathology Physician
  • Greensboro, NC
  • NPI 1396728291

  Dermatopathology, NC

  Medicare reassignment Care Compare group NPD
• Kelly Leigh West, M.D., PH.D.

  • Dermatopathology (Pathology) Physician
  • Greensboro, NC
  • NPI 1134393929

  Dermatopathology, NC

  Medicare reassignment Care Compare group NPD
• Ryan Jacob Carr, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • York, PA
  • NPI 1811282049

  NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1780928325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102566",
            "telephone_number": "336-609-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 NEW GARDEN RD",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102566",
            "telephone_number": "336-609-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALL DERMPATH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/DERMATOPATHOLOGIST",
        "authorized_official_telephone_number": "336-609-6240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Ashe Baldwin, ED.D., BCPP,
• Amber Garris Balicki, MA, CCC-SLP
• Venesa Rose Balis, BCBA
• Erin O'Neill Balkind, LMBT, RCST
• Robert Alan Balkind, LAC
• Georgia Garrison Ball, FNP
• Larry Allen Ball, LMBT
• Michael Alan Ball, PHARMD
• Nancy Conrad Ball, MED LPC
• Russell A. Ball, M.D.

• All providers in Greensboro, NC
• Dermatopathology (Pathology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.