Kathryn T Ballard MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18608 Issued in AZ

Legal business name

KATHRYN T BALLARD MD

Practice address

811 Ainsworth Dr Ste 106
Prescott, AZ 86301-1687

Phone

(928) 771-5252

Fax

(928) 771-5254

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By 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. Kathryn T Ballard, M.D.

Title

Physician

Phone

(928) 771-5252

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/266fc0e7-96c0-4bdc-b43f-3e8aea7cea7b/

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1790053049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 AINSWORTH DR STE 106",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011687",
            "telephone_number": "928-771-5252",
            "fax_number": "928-771-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 AINSWORTH DR STE 106",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011687",
            "telephone_number": "928-771-5252",
            "fax_number": "928-771-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN T BALLARD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "928-771-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "18608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295403",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Buntin, FNP, LTD
• Karen L Yates MD PC
• Brandon Scott Karstadt, MSW
• Kenneth Harold Kasner, PH.D.
• Katherine Cheeves MD, PLLC
• Kathy Stoecker LLC (Northern Arizona Trauma Institute LLC)
• Laurie Katon, LCSW
• Sandip Kaur, DMD
• Keith Marion Keating, D.O.
• Robert M. Kec, MD

• Pediatrics Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Pediatrics Physician in Arizona

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